| NPI Details | |
|---|---|
| NPI | 1205988607 |
| Enumeration Date | 01/17/2007 |
| Last Updated | 08/09/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | MAURY WISE MAURY |
| Position | VICE PRESIDENT |
| Phone | (804) 353-7244 |
| Fax | (804) 353-5976 |
| Practice Location | |
|---|---|
| 2135 STAPLES MILL RD RICHMOND VA, 23230-2905, US |
|
| Phone | (804) 353-7244 |
| Fax | (804) 353-5976 |
| Business Location | |
|---|---|
| 5873 POPLAR HALL DR NORFOLK VA, 23502-3815, US |
|
| Phone | (757) 466-1553 |
| Fax | (757) 455-8536 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332BC3200X |
| License State | Virginia |
| License Number | 043016L14460 |
| Remove 1205988607 NPI Number | |
According to our database, L C Rehab Llc NPI is 1205988607, taxonomy code is 332BC3200X and license number is 043016L14460, license state is located at Virginia. L C Rehab Llc physically located at 2135 Staples Mill Rd, Richmond VA, 23230-2905. NPI Number 1033115704 has the healthcare provider type.
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1205988607 NPI number is provided on an as is basis without warranty of any kind. 1205988607 is maintained by the National Plan & Provider Enumeration System. The contents of L C Rehab Llc are for informational purposes only.
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