Border Rehab, Inc

NPI 1366457061 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1366457061
Enumeration Date 07/30/2006
Last Updated 03/29/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MATTHEW GARY MATTHEW
Position PRESIDENT
Phone (605) 537-4272
Fax (605) 537-4385
Practice Location
85 1ST AVENUE EAST
ROSHOLT SD, 57260-0108, US
Phone (605) 537-4272
Fax (605) 537-4385
Business Location
2231 60TH AVE S
FARGO ND, 58104-7602, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State South Dakota
License Number SD#1176
Remove 1366457061 NPI Number
 

According to our database, Border Rehab, Inc NPI is 1366457061, taxonomy code is 314000000X and license number is SD#1176, license state is located at South Dakota. Border Rehab, Inc physically located at 85 1st Avenue East, Rosholt SD, 57260-0108. NPI Number 1033115704 has the healthcare provider type.

1366457061 NPI number is provided on an as is basis without warranty of any kind. 1366457061 is maintained by the National Plan & Provider Enumeration System. The contents of Border Rehab, Inc are for informational purposes only.