Provider Demographics
NPI:1841217833
Name:ALLCARE REHABILITATION, INC
Entity Type:Organization
Organization Name:ALLCARE REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MANFRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-754-1062
Mailing Address - Street 1:1214 W REYNOLDS ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4300
Mailing Address - Country:US
Mailing Address - Phone:813-754-1062
Mailing Address - Fax:813-759-8254
Practice Address - Street 1:1214 W REYNOLDS ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4300
Practice Address - Country:US
Practice Address - Phone:813-754-1062
Practice Address - Fax:813-759-8254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 5219261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR6LOtherBCBS
FLR6LOtherBCBS