GRACE REHABILITATION CENTER, INC.; NPI #1659485936

Contact Information

GRACE REHABILITATION CENTER, INC.

2435 JACKSBORO PIKE
LAFOLLETTE, TN 37766-2910

Phone: 423-566-2250
Fax: 423-566-5896
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility

Indicates primary specialty

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NPI Profile & details for GRACE REHABILITATION CENTER, INC.

NPI # 1659485936

LBN Legal business name GRACE REHABILITATION CENTER, INC.

Authorized official BRIAN LEACH - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/17/2006

Last updated 10/09/2018 - About 8 years ago

Identifiers

License #

446655

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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