| Organization Name: | 21ST CENTURY REHAB,PC |
| NPI Number: | 1174783583 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE R CASSABAUM (CFO) |
| Mailing Address: | 1507 N 1st St Indianola |
| State: | IA US |
| Postal Code: | 501253703 |
| Phone Number: | 5159617435 |
| Fax Number: | 5159617436 |
| NPI Enumeration Date: | 06/10/2008 |
| NPI Last Update Date: | 07/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |