Organization Name: | KEY REHAB ASSOCIATES, INC. |
NPI Number: | 1104985399 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA SMILO (PRESIDENT) |
Mailing Address: | 123 Jefferson Davis Blvd Natchez |
State: | MS US |
Postal Code: | 391205103 |
Phone Number: | 6014450005 |
Fax Number: | 6014450370 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 09/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |