Provider Demographics
NPI:1649690959
Name:REHABILITATION & NEUROLOGICAL SERVICES LLC
Entity type:Organization
Organization Name:REHABILITATION & NEUROLOGICAL SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAGE-EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-885-9708
Mailing Address - Street 1:2700 TRIANA BLVD SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-4046
Mailing Address - Country:US
Mailing Address - Phone:256-885-4292
Mailing Address - Fax:256-883-1840
Practice Address - Street 1:2700 TRIANA BLVD SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-4046
Practice Address - Country:US
Practice Address - Phone:256-885-4292
Practice Address - Fax:256-883-1840
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHABILITATION & NEUROLOGICAL SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-25
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11832291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529913880Medicaid
AL4778560001Medicare NSC