Provider Demographics
NPI:1942494950
Name:PHOENIX REHABILITATION AND NURSING CARE, INC. NFP
Entity Type:Organization
Organization Name:PHOENIX REHABILITATION AND NURSING CARE, INC. NFP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAQIB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-382-3892
Mailing Address - Street 1:615 W WEBB ST
Mailing Address - Street 2:
Mailing Address - City:CARMI
Mailing Address - State:IL
Mailing Address - Zip Code:62821-1668
Mailing Address - Country:US
Mailing Address - Phone:618-382-3892
Mailing Address - Fax:618-382-3892
Practice Address - Street 1:615 W WEBB ST
Practice Address - Street 2:
Practice Address - City:CARMI
Practice Address - State:IL
Practice Address - Zip Code:62821-1668
Practice Address - Country:US
Practice Address - Phone:618-382-3892
Practice Address - Fax:618-382-3892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-03
Last Update Date:2007-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility