Provider Demographics
NPI:1760751077
Name:BODY MECHANICS REHABILITATION SERVICES, LLC
Entity Type:Organization
Organization Name:BODY MECHANICS REHABILITATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT EXECUTIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LETORSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-817-3422
Mailing Address - Street 1:524 NEW RIVER WAY
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-4153
Mailing Address - Country:US
Mailing Address - Phone:678-817-3422
Mailing Address - Fax:678-444-4559
Practice Address - Street 1:524 NEW RIVER WAY
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30252-4153
Practice Address - Country:US
Practice Address - Phone:678-817-3422
Practice Address - Fax:678-444-4559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT002225171W00000X, 251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care