| Organization Name: | COMMUNITY REHAB OF GREENVILLE INC |
| NPI Number: | 1053533570 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELANIE L FAYARD (VICE PRESIDENT) |
| Mailing Address: | 3313 Market St Pascagoula |
| State: | MS US |
| Postal Code: | 39567 |
| Phone Number: | 2287621936 |
| Fax Number: | 2287621926 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |