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Organization

HIBISCUS HOUSE REHAB, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AOWYN PLANTS LMT (BUSINESS MANAGER, OWNER)
(352) 224-5004
Entity
Organization

Contact information

Practice address
1338 NW 13TH ST, GAINESVILLE, FL 32601-4108
(352) 224-5004
(352) 224-5234
Mailing address
1338 NW 13TH ST, GAINESVILLE, FL 32601-4108
(352) 224-5004
(352) 224-5234

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT2757
FL

Other

Enumeration date
03/19/2011
Last updated
06/15/2011
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