Provider Demographics
NPI:1316635170
Name:MELWOOD REHABILITATION CENTER INC
Entity type:Organization
Organization Name:MELWOOD REHABILITATION CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAFIK
Authorized Official - Middle Name:
Authorized Official - Last Name:TARFA
Authorized Official - Suffix:
Authorized Official - Credentials:PT,MS,DPT
Authorized Official - Phone:301-599-8420
Mailing Address - Street 1:9500 PENNSYLVANIA AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3658
Mailing Address - Country:US
Mailing Address - Phone:301-599-8420
Mailing Address - Fax:301-599-8280
Practice Address - Street 1:9500 PENNSYLVANIA AVE STE 6
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3658
Practice Address - Country:US
Practice Address - Phone:301-599-8420
Practice Address - Fax:301-599-8280
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MELWOOD REHABILITATION CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-28
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty