Provider Demographics
NPI:1750012290
Name:BEST CARE JOINT CENTER, LLC
Entity Type:Organization
Organization Name:BEST CARE JOINT CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAZZARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-789-1089
Mailing Address - Street 1:3509 FOWLER ST
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-0925
Mailing Address - Country:US
Mailing Address - Phone:239-789-1089
Mailing Address - Fax:239-789-1085
Practice Address - Street 1:3509 FOWLER ST
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-0925
Practice Address - Country:US
Practice Address - Phone:239-789-1089
Practice Address - Fax:239-789-1085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy