Organization
PRIME QUALITY REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS G. PAINCHAULT (VICE-PRESIDENT)
(305) 828-7799
Entity
Organization
Contact information
Practice address
1840 W 49TH ST, SUITE 304, HIALEAH, FL 33012-2942
(305) 828-7799
(305) 828-7399
Mailing address
1840 W 49TH ST, SUITE 304, HIALEAH, FL 33012-2942
(305) 828-7799
(305) 828-7399
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
FL
Other
Enumeration date
10/19/2006
Last updated
09/05/2007
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