Organization
REJUVENATE HEALTH CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ALONZO JR. OTR (PRESIDENT)
(305) 593-2227
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE STE 102, DORAL, FL 33166-6545
(305) 593-2227
Mailing address
3900 NW 79TH AVE STE 102, DORAL, FL 33166-6545
(305) 593-2227
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
OT 12543
FL
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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