Provider Demographics
NPI:1457695678
Name:ALLIED REHABILITATION EQUIPMENT, INC.
Entity Type:Organization
Organization Name:ALLIED REHABILITATION EQUIPMENT, INC.
Other - Org Name:ALLIED REHAB SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCILWAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-642-0463
Mailing Address - Street 1:520 BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-2815
Mailing Address - Country:US
Mailing Address - Phone:276-642-0463
Mailing Address - Fax:
Practice Address - Street 1:520 BROOKWOOD DR
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-2815
Practice Address - Country:US
Practice Address - Phone:276-642-0463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies