Provider Demographics
NPI:1740436096
Name:CORE REHAB STAFFING INC.
Entity type:Organization
Organization Name:CORE REHAB STAFFING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:M
Authorized Official - Last Name:MIGUEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:909-556-7292
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:ESPARTO
Mailing Address - State:CA
Mailing Address - Zip Code:95627-0037
Mailing Address - Country:US
Mailing Address - Phone:909-556-7292
Mailing Address - Fax:
Practice Address - Street 1:33 W ELLIOT ST
Practice Address - Street 2:APT 83
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3059
Practice Address - Country:US
Practice Address - Phone:530-662-9161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities