Organization Name: | KEYSTONE REHABILITATION SYSTEMS INC |
NPI Number: | 1447292768 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT & SECRETARY) |
Mailing Address: | 223 Grove City Rd Suite 5 Slippery Rock |
State: | PA US |
Postal Code: | 160578532 |
Phone Number: | 7247941039 |
Fax Number: | 7247945936 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 05/01/2016 |
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: |