Provider Demographics
NPI:1407892219
Name:APPLE REHAB AGENCY SERVICES INC
Entity Type:Organization
Organization Name:APPLE REHAB AGENCY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:423-639-9668
Mailing Address - Street 1:533 TUSCULUM BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-3940
Mailing Address - Country:US
Mailing Address - Phone:423-787-1120
Mailing Address - Fax:423-639-8191
Practice Address - Street 1:533 TUSCULUM BLVD
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-3940
Practice Address - Country:US
Practice Address - Phone:423-787-1120
Practice Address - Fax:423-639-8191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN446541Medicare ID - Type UnspecifiedOUTPATIENT CLINIC