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NPI Code Detail

MEDICARE: ALL ABOUT REHAB LLC

MEDICARE: ALL ABOUT REHAB 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
1261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)
2261QR0400XRehabilitation Clinic/Center67-6681TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
185PQOTHERBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891819157
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL ABOUT REHAB LLC
Provider Business Mailing Address
First Line : 3550 HULEN ST
Second Line : SUITE D
City : FORT WORTH
State : TX
Zip : 76107-6885
Country : US
Telephone Number : 817-377-2535
Fax Number : 817-292-0572
Provider Business Practice Location Address
First Line : 1836 SANTA FE DR
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-6422
Country : US
Telephone Number : 817-377-2535
Fax Number : 817-292-0572
Authorized Official
Title or Position : OWNER
Name : BARBARA DIANE BEAVER
Credential : CPA
Telephone Number : 817-377-2535
Provider Enumeration Date : 03/19/2007
Last Update Date : 06/18/2013

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Directions to “ALL ABOUT REHAB LLC ” Practice Location

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