Provider Demographics
NPI:1407308257
Name:REBBAKIN INC
Entity type:Organization
Organization Name:REBBAKIN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OMOBOLANLE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINGBADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-755-7500
Mailing Address - Street 1:307 W JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1923
Mailing Address - Country:US
Mailing Address - Phone:267-755-7500
Mailing Address - Fax:
Practice Address - Street 1:307 W JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-1923
Practice Address - Country:US
Practice Address - Phone:267-755-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30213601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care