Provider Demographics
NPI:1598981938
Name:AM REHABILITATION CENTER INC
Entity Type:Organization
Organization Name:AM REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCISCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-206-1513
Mailing Address - Street 1:8302 NW 103RD ST STE 202
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4698
Mailing Address - Country:US
Mailing Address - Phone:786-206-1513
Mailing Address - Fax:786-206-6259
Practice Address - Street 1:8302 NW 103RD ST STE 202
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-4698
Practice Address - Country:US
Practice Address - Phone:786-206-1513
Practice Address - Fax:786-206-6259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7269261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service