Organization Name: | KEYSTONE REHABILITATION SYSTEMS INC |
NPI Number: | 1548203870 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA L. GOLDBERG (CHIEF COMPLIANCE OFFICER) |
Mailing Address: | 348 W Main Rd Conneaut |
State: | OH US |
Postal Code: | 440302063 |
Phone Number: | 4405932804 |
Fax Number: | 4405932820 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 08/05/2014 |
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: |