Provider Demographics
NPI:1033383922
Name:NEURO-REHAB MANAGEMENT, INC.
Entity Type:Organization
Organization Name:NEURO-REHAB MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-979-0018
Mailing Address - Street 1:171 TREMONT ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-2242
Mailing Address - Country:US
Mailing Address - Phone:781-979-0018
Mailing Address - Fax:
Practice Address - Street 1:171 TREMONT ST
Practice Address - Street 2:SUITE #1
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-2242
Practice Address - Country:US
Practice Address - Phone:781-979-0018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management