Provider Demographics
NPI:1649945783
Name:REHAB 2DAY
Entity type:Organization
Organization Name:REHAB 2DAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:281-381-4474
Mailing Address - Street 1:168 COL ETHEREDGE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-4224
Mailing Address - Country:US
Mailing Address - Phone:281-381-4474
Mailing Address - Fax:
Practice Address - Street 1:168 COL ETHEREDGE BLVD STE D
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4224
Practice Address - Country:US
Practice Address - Phone:936-370-2248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service