NPI Code Details Logo

NPI 1477506624

NPI 1477506624 : REHABCARE GROUP EAST INC : MARINE CITY, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1477506624
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    REHABCARE GROUP EAST INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/18/2006
-----------------------------------------------------
    Last Update Date     |    07/22/2015
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    540 S PARKER ST SUITE B
-----------------------------------------------------
    City                 |    MARINE CITY
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48039-3593
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    810-765-8110
-----------------------------------------------------
    Fax                  |    810-765-9811
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    540 S PARKER ST SUITE B
-----------------------------------------------------
    City                 |    MARINE CITY
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48039-3593
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    810-765-8110
-----------------------------------------------------
    Fax                  |    810-765-9811
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ASSISTANT SECRETARY
-----------------------------------------------------
    Name                 |    MS. MARILYN A. WEAVER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    502-596-7300
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR0400X
-----------------------------------------------------
    Taxonomy Name        |    Rehabilitation Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.