Provider Demographics
NPI:1477996668
Name:LUNGS REHAB, LLC
Entity Type:Organization
Organization Name:LUNGS REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAESPRIELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-334-6137
Mailing Address - Street 1:31178 CORTEZ BLVD STE 122
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34602-7552
Mailing Address - Country:US
Mailing Address - Phone:813-334-6137
Mailing Address - Fax:855-485-5236
Practice Address - Street 1:31178 CORTEZ BLVD STE 122
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34602-7552
Practice Address - Country:US
Practice Address - Phone:813-334-6137
Practice Address - Fax:855-485-5236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Single Specialty