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NPI Code Detail

MEDICARE: LANDMARK REHABILITATION HOSPITAL OF CAPE GIRARDEAU, LLC

MEDICARE: LANDMARK REHABILITATION HOSPITAL OF CAPE GIRARDEAU, 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
1283X00000XRehabilitation Hospital

General Provider Information

NPI Number : 1649764457
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANDMARK REHABILITATION HOSPITAL OF CAPE GIRARDEAU, LLC
Provider Business Mailing Address
First Line : 3255 INDEPENDENCE ST
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-4914
Country : US
Telephone Number : 573-331-8437
Fax Number : 573-331-8479
Provider Business Practice Location Address
First Line : 3255 INDEPENDENCE ST STE 101
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-4914
Country : US
Telephone Number : 573-331-8437
Fax Number : 573-331-8479
Authorized Official
Title or Position : CORPORATE BUSINESS OFFICE DIRECTOR
Name : KIMBERLY A SMITH
Credential :
Telephone Number : 573-331-8437
Provider Enumeration Date : 06/15/2018
Last Update Date : 06/15/2018

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Directions to “LANDMARK REHABILITATION HOSPITAL OF CAPE GIRARDEAU, LLC ” Practice Location

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