Provider Demographics
NPI:1265729966
Name:TRUST REHAB, LLC
Entity type:Organization
Organization Name:TRUST REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:RTS
Authorized Official - Phone:919-889-1809
Mailing Address - Street 1:10401 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8710
Mailing Address - Country:US
Mailing Address - Phone:919-889-2033
Mailing Address - Fax:919-481-3255
Practice Address - Street 1:10401 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-8710
Practice Address - Country:US
Practice Address - Phone:919-889-2033
Practice Address - Fax:919-481-3255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-01
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies