Provider Demographics
NPI:1740245471
Name:KEYSTONE NEURO-REHAB, INC
Entity Type:Organization
Organization Name:KEYSTONE NEURO-REHAB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFFERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-527-5104
Mailing Address - Street 1:130 BIGELOW ST
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-2683
Mailing Address - Country:US
Mailing Address - Phone:724-527-5104
Mailing Address - Fax:724-527-5965
Practice Address - Street 1:130 BIGELOW ST
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-2683
Practice Address - Country:US
Practice Address - Phone:724-527-5104
Practice Address - Fax:724-527-5965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home