Provider Demographics
NPI:1366058240
Name:BEYOND REHAB AT YOUR SERVICE, LLC
Entity type:Organization
Organization Name:BEYOND REHAB AT YOUR SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OT
Authorized Official - Prefix:
Authorized Official - First Name:CARANDA
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:CRIBB
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:843-845-7243
Mailing Address - Street 1:3822 PINE NEEDLES RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-8522
Mailing Address - Country:US
Mailing Address - Phone:843-845-7243
Mailing Address - Fax:
Practice Address - Street 1:3822 PINE NEEDLES RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-8522
Practice Address - Country:US
Practice Address - Phone:843-845-7243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No252Y00000XAgenciesEarly Intervention Provider Agency