Ellisville Rehab Center, Inc
Ellisville Rehab Center, Inc is an Exclusive Provider Organization in Ellisville, Missouri. Licensed in Missouri. Registered with an NPI since 2010.
- Licensed in
- MO
- In the registry since
- 2010
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16075 Manchester RdEllisville, MO 63011-2103
Phone: (636) 256-0880
Fax: (636) 256-9153
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 26-6639 (MO) |
|---|
Record details
| NPI number | 1104127844 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leslie Siess — Owner · (636) 256-0880 |
| NPI enumerated | November 11, 2010 |
| Last updated in NPPES | November 11, 2010 |
| Mailing address | 16075 Manchester Rd, Ellisville, MO 63011-2103 |