Provider Demographics
NPI:1245484831
Name:VISITING REHAB SERVICES, LLC
Entity type:Organization
Organization Name:VISITING REHAB SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:M
Authorized Official - Last Name:STELMACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-272-0037
Mailing Address - Street 1:11 ROBERT TONER BLVD
Mailing Address - Street 2:SUITE 5, BOX 177
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02763-1174
Mailing Address - Country:US
Mailing Address - Phone:774-991-1875
Mailing Address - Fax:508-409-3646
Practice Address - Street 1:11 ROBERT TONER BLVD
Practice Address - Street 2:SUITE 5, BOX 177
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02763-1174
Practice Address - Country:US
Practice Address - Phone:774-991-1875
Practice Address - Fax:508-409-3646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-09
Last Update Date:2008-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation