| Rehabilitation Industries Of N.e. Ga | |
|
930 Athens St Gainesville GA 30501-6937 | |
| (770) 535-7464 | |
| (770) 531-5697 |
| Full Name | Rehabilitation Industries Of N.e. Ga |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 930 Athens St, Gainesville, Georgia |
| Authorized Official Name and Position | Paula Phillips (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7705357464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehabilitation Industries Of N.e. Ga Po Box 907413 Gainesville GA 30501-0907 Ph: (770) 535-7464 | Rehabilitation Industries Of N.e. Ga 930 Athens St Gainesville GA 30501-6937 Ph: (770) 535-7464 |
| NPI Number | 1922353234 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 07/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922353234 | NPI | - | NPPES |
| 000800456A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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