Organization Name: | REHAB CARE GROUP EAST INC |
NPI Number: | 1215913223 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA M HENRY (FNP) |
Mailing Address: | 1500 Lansdowne Ave Mercy Fitzergald Hospital Darby |
State: | PA US |
Postal Code: | 190231200 |
Phone Number: | 6102374721 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2005 |
NPI Last Update Date: | 12/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |