# REJUVENATE HEALTH CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144501560
- **Authorized official:** MR. LUIS ALONZO JR. OTR (PRESIDENT)
- **Authorized official phone:** (305) 593-2227

## Contact information

- **Practice address:** 3900 NW 79TH AVE STE 102, DORAL, FL 33166-6545
- **Practice address phone:** (305) 593-2227
- **Mailing address:** 3900 NW 79TH AVE STE 102, DORAL, FL 33166-6545
- **Mailing address phone:** (305) 593-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | OT 12543 | FL | Yes |

## Other

- **Enumeration date:** 08/30/2011
- **Last updated:** 08/30/2011