Provider Demographics
NPI:1013789007
Name:REHABILITATION EDUCATION & ADVOCACY FOR CITIZENS WITH HANDICAPS
Entity Type:Organization
Organization Name:REHABILITATION EDUCATION & ADVOCACY FOR CITIZENS WITH HANDICAPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:STONEMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-870-9082
Mailing Address - Street 1:1000 MACON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-4527
Mailing Address - Country:US
Mailing Address - Phone:817-870-9082
Mailing Address - Fax:
Practice Address - Street 1:1000 MACON ST STE 200
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-4527
Practice Address - Country:US
Practice Address - Phone:817-870-9082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management