Provider Demographics
NPI:1003075904
Name:PLANTATION REHABILITATION CARE
Entity Type:Organization
Organization Name:PLANTATION REHABILITATION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ALDEN
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-321-3638
Mailing Address - Street 1:4100 S HOSPITAL DR STE 206
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2837
Mailing Address - Country:US
Mailing Address - Phone:954-321-3638
Mailing Address - Fax:954-321-1422
Practice Address - Street 1:4100 S HOSPITAL DR STE 206
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2837
Practice Address - Country:US
Practice Address - Phone:954-321-3638
Practice Address - Fax:954-321-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation