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NPI Code Detail

MEDICARE: REHABILITATION CENTER, LLC

MEDICARE: REHABILITATION CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilitySNF130470978FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235569385
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABILITATION CENTER, LLC
Provider Business Mailing Address
First Line : 3611 TRANSMITTER RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-9799
Country : US
Telephone Number : 850-747-9688
Fax Number :
Provider Business Practice Location Address
First Line : 3611 TRANSMITTER RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-9799
Country : US
Telephone Number : 850-747-9688
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. RANDALL MCELHENEY
Credential :
Telephone Number : 850-747-9688
Provider Enumeration Date : 11/26/2013
Last Update Date : 11/26/2013

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Directions to “REHABILITATION CENTER, LLC ” Practice Location

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