| Organization Name: | HEARTLAND REHABILITATION SERVICES OF VIRGINIA, LLC |
| NPI Number: | 1003869264 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY A. LAZARUS (VICE PRESIDENT-REIMBURSEMENT) |
| Mailing Address: | 800 E Main St Ste 310 Wytheville |
| State: | VA US |
| Postal Code: | 243823311 |
| Phone Number: | 2762286200 |
| Fax Number: | 2762289175 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 05/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |