Provider Demographics
NPI:1801210091
Name:ALL SAINTS CARE INJURY & REHABILITATION CLINIC INC
Entity Type:Organization
Organization Name:ALL SAINTS CARE INJURY & REHABILITATION CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACKSON
Authorized Official - Middle Name:
Authorized Official - Last Name:EHIOGUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-708-9191
Mailing Address - Street 1:606 ORIOLE BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-3500
Mailing Address - Country:US
Mailing Address - Phone:972-708-9191
Mailing Address - Fax:972-708-9292
Practice Address - Street 1:606 ORIOLE BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-3500
Practice Address - Country:US
Practice Address - Phone:972-708-9191
Practice Address - Fax:972-708-9292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX731841314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility