Provider Demographics
NPI:1861841827
Name:AHEB REHABILITATION CLINIC, INC.
Entity Type:Organization
Organization Name:AHEB REHABILITATION CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTORELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-617-4049
Mailing Address - Street 1:5975 WEST SUNRISE BLVD., SUITE 105
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6177
Mailing Address - Country:US
Mailing Address - Phone:954-533-8678
Mailing Address - Fax:
Practice Address - Street 1:5975 WEST SUNRISE BLVD.
Practice Address - Street 2:SUITE 105
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33313-1046
Practice Address - Country:US
Practice Address - Phone:407-617-4049
Practice Address - Fax:954-252-4606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health