Basic Information
| Provider Information | |||||||||
| NPI: | 1720344567 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REHABCARE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3000 N. RIDGE RD | ||||||||
| Address2: | |||||||||
| City: | ELLICOTT CITY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104617577 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3000 N RIDGE RD | ||||||||
| Address2: | |||||||||
| City: | ELLICOTT CITY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210433311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104617577 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2012 | ||||||||
| LastUpdateDate: | 04/05/2012 | ||||||||
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| AuthorizedOfficialLastName: | ROSS | ||||||||
| AuthorizedOfficialFirstName: | ANDREA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PD | ||||||||
| AuthorizedOfficialTelephone: | 4102031082 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 06838 | MD | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.