Healthcare Provider Details

I. General information

NPI: 1790238756
Provider Name (Legal Business Name): REHAB SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2016
Last Update Date: 10/28/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 2ND AVE SW
MINOT ND
58701-3836
US

IV. Provider business mailing address

112 2ND AVE SW
MINOT ND
58701-3836
US

V. Phone/Fax

Practice location:
  • Phone: 701-838-4240
  • Fax: 701-838-2621
Mailing address:
  • Phone: 701-838-4240
  • Fax: 701-838-2621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JEANINE KABANUK
Title or Position: FINANCIAL DIRECTOR
Credential:
Phone: 701-839-4240