Provider Demographics
NPI:1891038881
Name:STROKE RECOVERY CENTER
Entity Type:Organization
Organization Name:STROKE RECOVERY CENTER
Other - Org Name:NEURO VITALITY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SELLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:760-323-7676
Mailing Address - Street 1:2800 E ALEJO RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6253
Mailing Address - Country:US
Mailing Address - Phone:760-323-7676
Mailing Address - Fax:760-325-8026
Practice Address - Street 1:2800 E ALEJO RD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6253
Practice Address - Country:US
Practice Address - Phone:760-323-7676
Practice Address - Fax:760-325-8026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable