OPTIMA REHABILITATION SERVICES, LTD.; NPI #1952303380

Contact Information

OPTIMA REHABILITATION SERVICES, LTD.

27 ST LAWRENCE DRIVE
SUITE 104
TIFFIN, OH 44883-2572

Phone: 419-447-7203
Fax: 419-447-5577
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for OPTIMA REHABILITATION SERVICES, LTD.

NPI Number 1952303380

LBN Legal business name OPTIMA REHABILITATION SERVICES, LTD.

Authorized official MARK SOMODI - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/15/2005

Last updated 09/12/2008 - About 18 years ago

Identifiers

Medicaid

2038968

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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