Provider Demographics
NPI:1659319127
Name:REHAB EQUIPMENT SERVICES, INC.
Entity Type:Organization
Organization Name:REHAB EQUIPMENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:601-720-5570
Mailing Address - Street 1:231 INGLESIDE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-9528
Mailing Address - Country:US
Mailing Address - Phone:601-982-8002
Mailing Address - Fax:601-982-8002
Practice Address - Street 1:4290 LAKELAND DRIVE
Practice Address - Street 2:SUITE 5
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232
Practice Address - Country:US
Practice Address - Phone:601-720-5570
Practice Address - Fax:601-932-6215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0572640001Medicare ID - Type Unspecified