Healthcare Provider Details

I. General information

NPI: 1174522205
Provider Name (Legal Business Name): SCHUYLKILL REHABILITATION CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 02/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SCHUYLKILL MEDICAL PLZ
POTTSVILLE PA
17901-3668
US

IV. Provider business mailing address

300 SCHUYLKILL MEDICAL PLZ
POTTSVILLE PA
17901-3668
US

V. Phone/Fax

Practice location:
  • Phone: 570-621-9500
  • Fax: 570-621-9510
Mailing address:
  • Phone: 570-621-9500
  • Fax: 570-621-9510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KRISTINA GUERS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 570-621-9505