Provider Demographics
NPI:1528259629
Name:ALLIED REHAB SERVICES
Entity type:Organization
Organization Name:ALLIED REHAB SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCILWAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-279-0002
Mailing Address - Street 1:PO BOX 1211
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37621-1211
Mailing Address - Country:US
Mailing Address - Phone:423-279-0002
Mailing Address - Fax:423-279-0008
Practice Address - Street 1:1620 BLOUNTVILLE BLVD
Practice Address - Street 2:
Practice Address - City:BLOUNTVILLE
Practice Address - State:TN
Practice Address - Zip Code:37617-4701
Practice Address - Country:US
Practice Address - Phone:423-279-0002
Practice Address - Fax:423-279-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies