Healthcare Provider Details

I. General information

NPI: 1487762076
Provider Name (Legal Business Name): REHABILITATION CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 FIRST AVENUE N.E.
MAGEE MS
39111
US

IV. Provider business mailing address

PO BOX 1160
MAGEE MS
39111-1160
US

V. Phone/Fax

Practice location:
  • Phone: 662-488-8878
  • Fax:
Mailing address:
  • Phone: 601-849-4221
  • Fax: 601-849-7188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number685
License Number StateMS

VIII. Authorized Official

Name: MR. CHRISTOPHER HOWARD
Title or Position: VP & SECRETARY
Credential:
Phone: 615-861-7566