Organization · NPI-2

Carr Rehab INC

Durable Medical Equipment & Medical Supplies · Johnson City, TN

NPI number1821438482

StatusActive

Last updated in NPPESJun 27, 2013

Details

NPI: 1821438482
Entity type: Organization (NPI-2)
Legal business name: Carr Rehab INC
Organization subpart: No
Enumeration date: Jun 27, 2013
Last updated: Jun 27, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332B00000X	Durable Medical Equipment & Medical Supplies	677	TN	Yes
332BC3200X	Durable Medical Equipment & Medical Supplies, Customized Equipment	677	TN

Practice location

411 W Oakland Ave
Johnson City, TN 37604-1652

Phone 423-268-2500 · Fax 423-268-2505

Mailing address

411 W Oakland Ave
Johnson City, TN 37604-1652

Phone 423-268-2500 · Fax 423-268-2505

Authorized official

Jeffrey Alan Carr
President
8655462386

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