Provider Demographics
NPI:1558569681
Name:DELAWARE HEALTH AND REHABILITATION
Entity Type:Organization
Organization Name:DELAWARE HEALTH AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-362-8800
Mailing Address - Street 1:104 W WILLIAM ST STE B
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2305
Mailing Address - Country:US
Mailing Address - Phone:740-362-8800
Mailing Address - Fax:740-362-8804
Practice Address - Street 1:104 W WILLIAM ST STE B
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2305
Practice Address - Country:US
Practice Address - Phone:740-362-8800
Practice Address - Fax:740-362-8804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation