Provider Demographics
NPI:1467180885
Name:REHAB SERVICES GROUP LLC
Entity Type:Organization
Organization Name:REHAB SERVICES GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:UFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-925-0469
Mailing Address - Street 1:15239 AL HIGHWAY 68
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35962-3481
Mailing Address - Country:US
Mailing Address - Phone:256-925-0469
Mailing Address - Fax:256-925-0553
Practice Address - Street 1:15239 AL HIGHWAY 68
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35962-3481
Practice Address - Country:US
Practice Address - Phone:256-925-0469
Practice Address - Fax:256-925-0553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL292820Medicaid