Provider Demographics
NPI:1679828677
Name:COMPLETE HEALT MEDICAL & REHAB CENTER CORP
Entity Type:Organization
Organization Name:COMPLETE HEALT MEDICAL & REHAB CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-431-7918
Mailing Address - Street 1:4075 PINE RIDGE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-4004
Mailing Address - Country:US
Mailing Address - Phone:239-431-7918
Mailing Address - Fax:239-431-7915
Practice Address - Street 1:4075 PINE RIDGE RD STE 4
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-4004
Practice Address - Country:US
Practice Address - Phone:239-431-7918
Practice Address - Fax:239-431-7915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center