Provider Demographics
NPI:1366865131
Name:C & R HEALTHCARE, LLC
Entity Type:Organization
Organization Name:C & R HEALTHCARE, LLC
Other - Org Name:BACK-IN-ACTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MCFARLIN
Authorized Official - Last Name:USRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-585-6150
Mailing Address - Street 1:2311 10TH AVE N.
Mailing Address - Street 2:SUITE #2
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461
Mailing Address - Country:US
Mailing Address - Phone:561-585-6150
Mailing Address - Fax:561-585-6134
Practice Address - Street 1:2311 10TH AVE N.
Practice Address - Street 2:SUITE #2
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461
Practice Address - Country:US
Practice Address - Phone:561-585-6150
Practice Address - Fax:561-585-6134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty