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General NPI Number Information
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NPI Number | 1134338882
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Entity Type | Organization
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Legal Business Name | REHABCARE
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1202 E SUMNER ST
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City | HARTFORD
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State | WI
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Zip | 53027-1600
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Country | US
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Telephone | 262-673-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 528 VIOLET AVE
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City | HARTFORD
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State | WI
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Zip | 53027-1087
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Country | US
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Telephone | 262-673-0229
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MISS DYANA MAE HELT
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Credential | OT
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Telephone | 262-673-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2571026
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License Number State | WI
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