Provider Demographics
NPI:1467455899
Name:ALL AMERICAN REHABILITATION SOLUTIONS
Entity Type:Organization
Organization Name:ALL AMERICAN REHABILITATION SOLUTIONS
Other - Org Name:BLOOD AND CANCER CLINIC, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DEVASTHALI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:910-483-8586
Mailing Address - Street 1:PO BOX 53095
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-3095
Mailing Address - Country:US
Mailing Address - Phone:910-223-0729
Mailing Address - Fax:910-223-0733
Practice Address - Street 1:2125 VALLEYGATE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3753
Practice Address - Country:US
Practice Address - Phone:910-223-0729
Practice Address - Fax:910-223-0733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211930Medicaid
NC2344713OtherMEDICARE