Provider Demographics
NPI:1457573701
Name:AMAZING CHILDREN REHABILITATION INC.
Entity Type:Organization
Organization Name:AMAZING CHILDREN REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ENID
Authorized Official - Middle Name:M
Authorized Official - Last Name:ADORNO
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:954-547-0687
Mailing Address - Street 1:2060 NW 190 AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3834
Mailing Address - Country:US
Mailing Address - Phone:954-547-0687
Mailing Address - Fax:954-438-5558
Practice Address - Street 1:2060 NW 190 AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-3834
Practice Address - Country:US
Practice Address - Phone:954-547-0687
Practice Address - Fax:954-438-5558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty