ProviderBusinessMailingAddressFaxNumber = '8643483888'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1528496668
IVA REHABILITATION AND HEALTHCARE CENTER, LLC
406 W BROAD ST
IVA
SC
296559765
1750693776
EXALTED HEALTH & REHAB OF IVA, LLC
PO BOX 1119
IVA
SC
296551119
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