Provider Demographics
NPI:1689842254
Name:REHAB RESOURCES
Entity Type:Organization
Organization Name:REHAB RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-964-0885
Mailing Address - Street 1:4937 HIGHWAY 43 N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUMMERTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38483-7052
Mailing Address - Country:US
Mailing Address - Phone:931-540-8190
Mailing Address - Fax:
Practice Address - Street 1:4937 HIGHWAY 43 N
Practice Address - Street 2:SUITE 100
Practice Address - City:SUMMERTOWN
Practice Address - State:TN
Practice Address - Zip Code:38483-7052
Practice Address - Country:US
Practice Address - Phone:931-540-8190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN320600000X, 320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities