Organization Name: | QUALITY REHAB, INC |
NPI Number: | 1669509352 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHIRLEY D MONCURE (ADMINISTER PT) |
Mailing Address: | 701 Anthony St Port Gibson |
State: | MS US |
Postal Code: | 391502053 |
Phone Number: | 6014370188 |
Fax Number: | 6014370190 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 256591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |