MEDICARE: LORMAX REHABILITATION INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	261Q00000X	Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1508917865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LORMAX REHABILITATION INC

Provider Business Mailing Address
First Line	:	3488 JEFFCO BLVD
Second Line	:	SUITE 102
City	:	ARNOLD
State	:	MO
Zip	:	63010-6015
Country	:	US
Telephone Number	:	636-464-5439
Fax Number	:	636-464-5438

Provider Business Practice Location Address
First Line	:	3488 JEFFCO BLVD
Second Line	:	SUITE 102
City	:	ARNOLD
State	:	MO
Zip	:	63010-6015
Country	:	US
Telephone Number	:	636-464-5439
Fax Number	:	636-464-5438

Authorized Official
Title or Position	:	REGIONAL DIRECTOR
Name	:	KAREN LYNN WILD
Credential	:	MPT
Telephone Number	:	636-464-5439

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	09/20/2018

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Directions to “LORMAX REHABILITATION INC ” Practice Location

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