Healthcare Provider Details

I. General information

NPI: 1144598574
Provider Name (Legal Business Name): HEALTH FACILITIES REHAB SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2011
Last Update Date: 03/31/2020
Certification Date: 03/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 BUSINESS ROUTE 63
THAYER MO
65791
US

IV. Provider business mailing address

1102 SIKES AVE
SIKESTON MO
63801-5021
US

V. Phone/Fax

Practice location:
  • Phone: 417-264-7256
  • Fax:
Mailing address:
  • Phone: 573-471-2544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DONALD B BEDELL
Title or Position: VICE-PRESIDENT
Credential:
Phone: 573-471-1276