Rehabilitation Concepts, LLC
Clinic/Center in Ellenwood, GA. Organization (NPI-2).
NPI number1386030658
StatusActive
Last updated in NPPESApr 13, 2015
Details
- NPI
- 1386030658
- Entity type
- Organization (NPI-2)
- Legal business name
- Rehabilitation Concepts, LLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2015
- Last updated
- Apr 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | PT007592 | GA | Yes |
Practice location
5455 Frontier CtEllenwood, GA 30294-4385
Phone 850-261-5286
Mailing address
1938 Peachtree Rd NwSuite 610
Atlanta, GA 30309-1267
Authorized official
Michael Henry
Owner
8502615286
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