Provider Demographics
NPI:1578802344
Name:A TO Z REHAB AT HOME
Entity Type:Organization
Organization Name:A TO Z REHAB AT HOME
Other - Org Name:BRAZOS THERAPY CENTER AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-799-7676
Mailing Address - Street 1:6610 INTERSTATE 35 N
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76705-1136
Mailing Address - Country:US
Mailing Address - Phone:254-799-7676
Mailing Address - Fax:254-235-7612
Practice Address - Street 1:6610 INTERSTATE 35 N
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76705-1136
Practice Address - Country:US
Practice Address - Phone:254-799-7676
Practice Address - Fax:254-235-7612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health