Provider Demographics
NPI:1962838748
Name:REHAB AMERICA
Entity Type:Organization
Organization Name:REHAB AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL REHAB MANAGE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-538-6274
Mailing Address - Street 1:900 PROFESSIONAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-5244
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:900 PROFESSIONAL PARK
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-0000
Practice Address - Country:US
Practice Address - Phone:931-552-3002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT0000004722314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility