Provider Demographics
NPI:1407247885
Name:REHABCARE GROUP EAST, LLC
Entity Type:Organization
Organization Name:REHABCARE GROUP EAST, LLC
Other - Org Name:REHABCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7563
Mailing Address - Street 1:100 WEST ST
Mailing Address - Street 2:STE 3B
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1319
Mailing Address - Country:US
Mailing Address - Phone:781-234-6300
Mailing Address - Fax:781-234-6832
Practice Address - Street 1:100 WEST ST
Practice Address - Street 2:STE 3B
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494
Practice Address - Country:US
Practice Address - Phone:781-234-6300
Practice Address - Fax:781-234-6832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation