Provider Demographics
NPI:1114194297
Name:QUALITY REHAB CARE LLC
Entity Type:Organization
Organization Name:QUALITY REHAB CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ARLETTE
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:BSC, PT
Authorized Official - Phone:954-437-3458
Mailing Address - Street 1:307 SW 191ST TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5448
Mailing Address - Country:US
Mailing Address - Phone:954-437-3458
Mailing Address - Fax:954-437-8242
Practice Address - Street 1:2731 EXECUTIVE PARK DR
Practice Address - Street 2:SUITE1
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3657
Practice Address - Country:US
Practice Address - Phone:954-636-9480
Practice Address - Fax:954-389-9906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0009876261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy