Provider Demographics
NPI:1437303971
Name:JRG REHABILITATION CENTER INC
Entity Type:Organization
Organization Name:JRG REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOMINO
Authorized Official - Suffix:I
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-558-9878
Mailing Address - Street 1:1140 W 50TH ST STE 406
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3439
Mailing Address - Country:US
Mailing Address - Phone:305-558-9878
Mailing Address - Fax:305-558-9879
Practice Address - Street 1:1140 W 50TH ST STE 406
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3439
Practice Address - Country:US
Practice Address - Phone:305-558-9878
Practice Address - Fax:305-558-9879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7050261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation