Provider Demographics
NPI:1003195280
Name:ALL STAR REHABILITATION, INC
Entity Type:Organization
Organization Name:ALL STAR REHABILITATION, INC
Other - Org Name:SEABREEZE STAFFING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MANKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-338-8250
Mailing Address - Street 1:7025 BERACASA WAY
Mailing Address - Street 2:SUITE 104A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3443
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7025 BERACASA WAY
Practice Address - Street 2:SUITE 104A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3443
Practice Address - Country:US
Practice Address - Phone:561-338-8250
Practice Address - Fax:561-338-8251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCERT 3388 REG 1057251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management