Organization
BLUE HEAVEN REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO NODARSE (PRESIDENT)
(305) 551-2400
Entity
Organization
Contact information
Practice address
4355 W 16TH AVE, SUITE 201, HIALEAH, FL 33012-7666
(305) 551-2400
(305) 551-3989
Mailing address
4355 W 16TH AVE, SUITE 201, HIALEAH, FL 33012-7666
(305) 551-2400
(305) 551-3989
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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