Healthcare Provider Details

I. General information

NPI: 1649222191
Provider Name (Legal Business Name): REHAB DIMENSIONS OF WV, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 2ND ST
SAINT MARYS WV
26170-1007
US

IV. Provider business mailing address

411 2ND ST
SAINT MARYS WV
26170-1007
US

V. Phone/Fax

Practice location:
  • Phone: 304-684-9294
  • Fax: 304-684-0014
Mailing address:
  • Phone: 304-684-9294
  • Fax: 304-684-0014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number001
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number001
License Number StateWV

VIII. Authorized Official

Name: ANN GREER
Title or Position: OWNER
Credential:
Phone: 304-684-9294