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NPI Code Detail

MEDICARE: BETH SHOLOM REHABILITATION CLINIC

MEDICARE: BETH SHOLOM REHABILITATION CLINIC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1760579932
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETH SHOLOM REHABILITATION CLINIC
Provider Business Mailing Address
First Line : 1600 JOHN ROLFE PKWY
Second Line :
City : RICHMOND
State : VA
Zip : 23238-8110
Country : US
Telephone Number : 804-421-5352
Fax Number : 804-750-1078
Provider Business Practice Location Address
First Line : 2700 LAUDERDALE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23238-8110
Country : US
Telephone Number : 804-421-5250
Fax Number : 804-421-5251
Authorized Official
Title or Position : CFO
Name : MR. JOHN V BELLOTTI
Credential :
Telephone Number : 804-421-5352
Provider Enumeration Date : 10/06/2006
Last Update Date : 08/22/2020

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Directions to “BETH SHOLOM REHABILITATION CLINIC ” Practice Location

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