Provider Demographics
NPI:1174751150
Name:UNITED HEALTH REHABILITATION SERVICES, LLC.
Entity type:Organization
Organization Name:UNITED HEALTH REHABILITATION SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CLEM
Authorized Official - Middle Name:CHIEMEKA
Authorized Official - Last Name:IHEANACHO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:336-988-2964
Mailing Address - Street 1:309 WEST MONTCASTLE DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406
Mailing Address - Country:US
Mailing Address - Phone:336-988-2964
Mailing Address - Fax:866-397-4083
Practice Address - Street 1:1314 HEADQUARTERS DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-7920
Practice Address - Country:US
Practice Address - Phone:336-988-2964
Practice Address - Fax:866-397-4083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health