MEDICARE: DENTON REHABILITATION HOSPITAL LP

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
1	284300000X	Special Hospital	008317	TX

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

General Provider Information

NPI Number	:	1881641058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTON REHABILITATION HOSPITAL LP

Provider Business Mailing Address
First Line	:	2809 S MAYHILL RD
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-5910
Country	:	US
Telephone Number	:	940-239-3000
Fax Number	:	940-239-3090

Provider Business Practice Location Address
First Line	:	2809 S MAYHILL RD
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76208-5910
Country	:	US
Telephone Number	:	940-239-3000
Fax Number	:	940-239-3090

Authorized Official
Title or Position	:	OWNER
Name	:	RICKY POWELL
Credential	:
Telephone Number	:	940-239-3000

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	01/21/2011

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