Provider Demographics
NPI:1023529799
Name:AMERICAN REHABILITATION SERVICESINC
Entity type:Organization
Organization Name:AMERICAN REHABILITATION SERVICESINC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERDOMO LICOURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-801-0974
Mailing Address - Street 1:8900 SW 107TH AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1451
Mailing Address - Country:US
Mailing Address - Phone:786-801-0974
Mailing Address - Fax:786-801-0976
Practice Address - Street 1:8900 SW 107TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1451
Practice Address - Country:US
Practice Address - Phone:786-801-0974
Practice Address - Fax:786-801-0976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health