National Provider Identifier Database

TRI VISTA REHAB INC
Rehabilitation


Contact Information

TRI-VISTA REHAB, INC
411 OAK ST.
RICHTON, MS39476
Phone: 662-270-6486
Fax: 662-842-7915
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for TRI-VISTA REHAB, INC

NPI Number 1265025522
Legal business name
LBN
TRI-VISTA REHAB, INC
Authorized official KEVIN BOUTIN - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 02/18/2021
Last updated 02/18/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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