Provider Demographics
NPI:1922383710
Name:TOUCH REHABILITATION CENTER, LLC
Entity Type:Organization
Organization Name:TOUCH REHABILITATION CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:SADI
Authorized Official - Middle Name:
Authorized Official - Last Name:OSORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-886-1635
Mailing Address - Street 1:3970 TAMPA RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3201
Mailing Address - Country:US
Mailing Address - Phone:813-886-1635
Mailing Address - Fax:
Practice Address - Street 1:3970 TAMPA RD
Practice Address - Street 2:SUITE G
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3201
Practice Address - Country:US
Practice Address - Phone:813-886-1635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC9658261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service