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NPI Code Detail

MEDICARE: REHAB AT YOUR PLACE

MEDICARE: REHAB AT YOUR PLACE
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
1253Z00000XIn Home Supportive Care Agency3535TN

General Provider Information

NPI Number : 1477970242
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHAB AT YOUR PLACE
Provider Business Mailing Address
First Line : 5469 SOUTHWOOD DR
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-1928
Country : US
Telephone Number : 901-761-0021
Fax Number :
Provider Business Practice Location Address
First Line : 6320 N QUAIL HOLLOW RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-1420
Country : US
Telephone Number : 901-761-0021
Fax Number : 901-432-5215
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : MRS. ANGELA GLASS WILLIAMS
Credential :
Telephone Number : 901-647-3554
Provider Enumeration Date : 03/18/2014
Last Update Date : 03/18/2014

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6320 N QUAIL HOLLOW RD
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Directions to “REHAB AT YOUR PLACE ” Practice Location

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