Provider Demographics
NPI:1407035520
Name:REHABCARE GROUP
Entity Type:Organization
Organization Name:REHABCARE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS;CCC-SLP
Authorized Official - Phone:816-210-9522
Mailing Address - Street 1:RR 1 BOX 126
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:MO
Mailing Address - Zip Code:64723-8448
Mailing Address - Country:US
Mailing Address - Phone:816-210-9522
Mailing Address - Fax:816-761-1022
Practice Address - Street 1:RR 1 BOX 126
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:MO
Practice Address - Zip Code:64723-8448
Practice Address - Country:US
Practice Address - Phone:816-210-9522
Practice Address - Fax:816-761-1022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO112441251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare