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NPI Code Detail

MEDICARE: ADVANTAGECARE REHABILITATION, INC

MEDICARE: ADVANTAGECARE REHABILITATION, INC
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
1261QP2000XPhysical Therapy Clinic/Center
2261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1952678088
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANTAGECARE REHABILITATION, INC
Provider Business Mailing Address
First Line : 5035 CLAIRTON BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-2103
Country : US
Telephone Number : 412-440-0145
Fax Number : 412-440-0143
Provider Business Practice Location Address
First Line : 5035 CLAIRTON BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-2103
Country : US
Telephone Number : 412-440-0145
Fax Number : 412-440-0143
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : MS. AMY HANCOCK
Credential :
Telephone Number : 412-440-0145
Provider Enumeration Date : 11/17/2011
Last Update Date : 11/17/2011

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