Provider Demographics
NPI:1033530316
Name:MILLENNIUM REHAB SOLUTIONS, LLC
Entity Type:Organization
Organization Name:MILLENNIUM REHAB SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:VOSS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:832-725-7047
Mailing Address - Street 1:24922 TRIBECA LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2747
Mailing Address - Country:US
Mailing Address - Phone:281-799-5115
Mailing Address - Fax:
Practice Address - Street 1:24922 TRIBECA LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2747
Practice Address - Country:US
Practice Address - Phone:281-799-5115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Multi-Specialty