Healthcare Provider Details

I. General information

NPI: 1689842254
Provider Name (Legal Business Name): REHAB RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 02/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4937 HIGHWAY 43 N SUITE 100
SUMMERTOWN TN
38483-7052
US

IV. Provider business mailing address

4937 HIGHWAY 43 N SUITE 100
SUMMERTOWN TN
38483-7052
US

V. Phone/Fax

Practice location:
  • Phone: 931-540-8190
  • Fax:
Mailing address:
  • Phone: 931-540-8190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateTN

VIII. Authorized Official

Name: CARRIE MORAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 931-964-0885