Provider Demographics
NPI:1669494530
Name:VIRGINIA REHAB CENTERS INC
Entity Type:Organization
Organization Name:VIRGINIA REHAB CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-883-9196
Mailing Address - Street 1:16618 MOUNTAIN RD
Mailing Address - Street 2:SUITE K
Mailing Address - City:MONTPELIER
Mailing Address - State:VA
Mailing Address - Zip Code:23192-2649
Mailing Address - Country:US
Mailing Address - Phone:804-883-9196
Mailing Address - Fax:
Practice Address - Street 1:16618 MOUNTAIN RD
Practice Address - Street 2:SUITE K
Practice Address - City:MONTPELIER
Practice Address - State:VA
Practice Address - Zip Code:23192-2649
Practice Address - Country:US
Practice Address - Phone:804-883-9196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA49-6685Medicare ID - Type Unspecified