Provider Demographics
NPI:1356068696
Name:BRENMOR REHAB SERVICES INC.
Entity type:Organization
Organization Name:BRENMOR REHAB SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF/CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDYL ROSE
Authorized Official - Middle Name:TORRECAMPO
Authorized Official - Last Name:MORANDI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:626-253-6344
Mailing Address - Street 1:1455 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-8433
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6221 FALLBROOK AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-1602
Practice Address - Country:US
Practice Address - Phone:626-253-6344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty