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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