Provider Demographics
NPI:1962816140
Name:REHAB CARE
Entity Type:Organization
Organization Name:REHAB CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED OCCUPATIONAL THERAPY ASST
Authorized Official - Prefix:
Authorized Official - First Name:ARNEL
Authorized Official - Middle Name:MARAYAG
Authorized Official - Last Name:RETUYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-837-1374
Mailing Address - Street 1:7335 PARK VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-4540
Mailing Address - Country:US
Mailing Address - Phone:858-837-1374
Mailing Address - Fax:
Practice Address - Street 1:7335 PARK VILLAGE RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-4540
Practice Address - Country:US
Practice Address - Phone:858-837-1374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOTA891314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility