Organization
A PLACE FOR YOU ADULT DAY CARE AND REHAB CENTER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONIEL GONZALEZ BSHSA, CNP (MANAGING DIRECTOR)
(561) 965-6980
Entity
Organization
Contact information
Practice address
3678 S CONGRESS AVE, PALM SPRINGS, FL 33461-3700
(561) 965-6980
(561) 965-9231
Mailing address
3678 S CONGRESS AVE, PALM SPRINGS, FL 33461-3700
(561) 965-6980
(561) 965-9231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009919500
—
FL
05
—
010295800
—
FL
Enumeration date
04/27/2018
Last updated
04/27/2018
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