Provider Demographics
NPI:1831446491
Name:INTERNATIONAL REHABILITATIVE SCIENCES INC
Entity type:Organization
Organization Name:INTERNATIONAL REHABILITATIVE SCIENCES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTONE
Authorized Official - Middle Name:J
Authorized Official - Last Name:EEK
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MHA
Authorized Official - Phone:800-929-6809
Mailing Address - Street 1:14001 SE 1ST ST.
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-3513
Mailing Address - Country:US
Mailing Address - Phone:800-683-0353
Mailing Address - Fax:800-929-1930
Practice Address - Street 1:9225 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 2B
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9149
Practice Address - Country:US
Practice Address - Phone:843-224-0679
Practice Address - Fax:888-557-9858
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERNATIONAL REHABILITATIVE SCIENCES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDM1199Medicaid