Provider Demographics
NPI:1164874780
Name:RESPIRATORY CARE AND REHABILITATION ASSOCIATES, LLC
Entity Type:Organization
Organization Name:RESPIRATORY CARE AND REHABILITATION ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MALTSBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:CRT, RRT
Authorized Official - Phone:843-443-4232
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:VEEDERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47987-0122
Mailing Address - Country:US
Mailing Address - Phone:765-585-0188
Mailing Address - Fax:
Practice Address - Street 1:2009 S 100 W
Practice Address - Street 2:
Practice Address - City:VEEDERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47987-8150
Practice Address - Country:US
Practice Address - Phone:765-585-0188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Multi-Specialty