Healthcare Provider Details
I. General information
NPI: 1467180885
Provider Name (Legal Business Name): REHAB SERVICES GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2022
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15239 AL HIGHWAY 68
CROSSVILLE AL
35962-3481
US
IV. Provider business mailing address
41718 AL HIGHWAY 75
GERALDINE AL
35974-3490
US
V. Phone/Fax
- Phone: 256-925-0469
- Fax: 256-925-0553
- Phone: 256-925-0469
- Fax: 256-659-2244
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAYMOND
UFFORD
Title or Position: MD/OWNER
Credential: MD
Phone: 256-925-0469