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Organization
HANA CARE INC.
Active
Organization
HANA CARE INC.
Active
Other names
Ultimate Therapy, Hana Care Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIEMAT ISSA OTRL (MANAGING PARTNER CEO)
(904) 768-9966
Entity
Organization
Contact information
Practice address
1771 EDGEWOOD AVE W STE 6B, JACKSONVILLE, FL 32208-7208
(904) 768-9966
Mailing address
PO BOX 551373, JACKSONVILLE, FL 32255-1373
(904) 768-9966
(904) 367-8760
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
06/16/2018
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