Provider Demographics
NPI:1063562122
Name:POSEY COUNTY REHABILITATION SERVICES
Entity type:Organization
Organization Name:POSEY COUNTY REHABILITATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:VERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:812-838-0636
Mailing Address - Street 1:5525 INDUSTRIAL RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IN
Mailing Address - Zip Code:47620-7200
Mailing Address - Country:US
Mailing Address - Phone:812-838-0636
Mailing Address - Fax:812-838-0571
Practice Address - Street 1:5525 INDUSTRIAL RD
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IN
Practice Address - Zip Code:47620-7200
Practice Address - Country:US
Practice Address - Phone:812-838-0636
Practice Address - Fax:812-838-0571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health