<Unavail>

LBN: Broad River Rehabilitation
<Unavail> is an health care organization with primary practice located at 9120 Willow Ridge Rd , Charlotte NC 28210-8313. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty. Broad River Rehabilitation can be contacted via phone (704) 275-5336, or through Mcgraw, Manning via phone (828) 774-5222.

Contact Information

Primary practice address
9120 Willow Ridge Rd Charlotte NC 28210-8313
Fax:
Website:
Authorized official contact:
Name: Mcgraw, Manning

Profile Details

NPI number 1902317589
LBN Legal business name Broad River Rehabilitation
DBA Doing business as <Unavail>
Authorized official Mcgraw, Manning
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2017
Last updated Nov 28th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902317589 NPPES
North Carolina MEDICAID 1902317589

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