Provider Demographics
NPI:1710294202
Name:UNITED REHAB INC.
Entity Type:Organization
Organization Name:UNITED REHAB INC.
Other - Org Name:UNITED REHAB OF TOOMSBORO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRUITT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:770-279-6200
Mailing Address - Street 1:210 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:TOOMSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:31090
Mailing Address - Country:US
Mailing Address - Phone:748-933-5395
Mailing Address - Fax:
Practice Address - Street 1:210 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOOMSBORO
Practice Address - State:GA
Practice Address - Zip Code:31090-2003
Practice Address - Country:US
Practice Address - Phone:748-933-5395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation