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NPI Code Detail

MEDICARE: LAVIE REHABILITATION

MEDICARE: LAVIE REHABILITATION
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 Facility10681NC

General Provider Information

NPI Number : 1548530371
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAVIE REHABILITATION
Provider Business Mailing Address
First Line : 10210 HIGHLAND MANOR DR STE 25033610
Second Line :
City : TAMPA
State : FL
Zip : 33610-9151
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1810 CONCORD LAKE RD
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28083-6434
Country : US
Telephone Number : 704-933-3781
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : CHRIS BENNETTS
Credential :
Telephone Number : 877-541-7471
Provider Enumeration Date : 01/10/2012
Last Update Date : 01/10/2012

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Directions to “LAVIE REHABILITATION ” Practice Location

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