Organization
KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DANIEL SPARKS (OWNER)
(727) 796-5478
Entity
Organization
Contact information
Practice address
2040 NE COACHMAN RD, SUITE A, CLEARWATER, FL 33765-2600
(727) 796-5478
(727) 796-5635
Mailing address
2040 NE COACHMAN RD, SUITE A, CLEARWATER, FL 33765-2600
(727) 796-5478
(727) 796-5635
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
02/08/2012
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