Organization Name: | THE MOLINE REM CENTER |
NPI Number: | 1891769915 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNETTE LANE (ADMINISTRATIVE ASSISTANT) |
Mailing Address: | 4364 7th Street Moline |
State: | IL US |
Postal Code: | 612656867 |
Phone Number: | 5633270132 |
Fax Number: | 5633595642 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 09/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |