Provider Demographics
NPI:1841584265
Name:D & R RAHABILITATION SERVICE CORP
Entity Type:Organization
Organization Name:D & R RAHABILITATION SERVICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANAY
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRUIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:786-304-4806
Mailing Address - Street 1:8567 CORAL WAY # 156
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2335
Mailing Address - Country:US
Mailing Address - Phone:786-304-4806
Mailing Address - Fax:
Practice Address - Street 1:8567 CORAL WAY # 156
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2335
Practice Address - Country:US
Practice Address - Phone:786-304-4806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children