Provider Demographics
NPI:1063771723
Name:REUBERT COMPANY
Entity type:Organization
Organization Name:REUBERT COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERREL
Authorized Official - Middle Name:C
Authorized Official - Last Name:REUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-269-5005
Mailing Address - Street 1:3401 HIGHWAY 153
Mailing Address - Street 2:SUITE A3
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673
Mailing Address - Country:US
Mailing Address - Phone:864-269-5005
Mailing Address - Fax:
Practice Address - Street 1:3401 HIGHWAY 153
Practice Address - Street 2:SUITE A3
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-7725
Practice Address - Country:US
Practice Address - Phone:864-269-5005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-15
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care