Provider Demographics
NPI:1962853358
Name:QUALITY REHAB-ST. FRANCIS LLC
Entity type:Organization
Organization Name:QUALITY REHAB-ST. FRANCIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO OF SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-824-9010
Mailing Address - Street 1:106A OFFICE PARK DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-2404
Mailing Address - Country:US
Mailing Address - Phone:601-824-9010
Mailing Address - Fax:601-824-9044
Practice Address - Street 1:1800 STEPHENS DR
Practice Address - Street 2:
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-8118
Practice Address - Country:US
Practice Address - Phone:870-633-6390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation