Provider Demographics
NPI:1154061463
Name:PREHAB INC.
Entity Type:Organization
Organization Name:PREHAB INC.
Other - Org Name:PREHAB MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF MARKETING
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EHRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-239-4266
Mailing Address - Street 1:514 W MAPLE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2424
Mailing Address - Country:US
Mailing Address - Phone:470-239-4266
Mailing Address - Fax:
Practice Address - Street 1:514 W MAPLE ST STE 204
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2424
Practice Address - Country:US
Practice Address - Phone:470-239-4266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREHAB INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-01
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies