National Provider Identifier Database

SIMBA REHAB LLC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

SIMBA REHAB, LLC
1149 TRAVERS LN
CORDOVA, TN38018-8835
Phone: 901-292-4906
Fax: 901-386-7783
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for SIMBA REHAB, LLC

NPI Number 1831379486
Legal business name
LBN
SIMBA REHAB, LLC
Authorized official SALIM ABDUN - (PT/CHIEF MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/13/2007
Last updated 11/13/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: PT0000005160
  • TN Other: 4051247 BLUECROSS BLUESHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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