Provider Demographics
NPI:1326016353
Name:FLORIDA HABILITATION NETWORK, INC.
Entity Type:Organization
Organization Name:FLORIDA HABILITATION NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDIENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:OBREGON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-297-0746
Mailing Address - Street 1:24921 GOLDCREST DR
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-7951
Mailing Address - Country:US
Mailing Address - Phone:239-390-2776
Mailing Address - Fax:239-390-1446
Practice Address - Street 1:24921 GOLDCREST DR
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-7951
Practice Address - Country:US
Practice Address - Phone:239-390-2776
Practice Address - Fax:239-390-1446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services