Provider Demographics
NPI:1720284979
Name:BEST CARE MEDICAL REHABILITATION, LLC
Entity Type:Organization
Organization Name:BEST CARE MEDICAL REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DERONVIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-739-3455
Mailing Address - Street 1:PO BOX 5867
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33310-5867
Mailing Address - Country:US
Mailing Address - Phone:954-739-3455
Mailing Address - Fax:954-777-2796
Practice Address - Street 1:2704 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-1336
Practice Address - Country:US
Practice Address - Phone:954-739-3544
Practice Address - Fax:954-777-2796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service