Organization
HANA CARE INC
Active
Other names
Hana Care Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NIEMAT M ISSA OTR/L (CEO)
(904) 768-9966
Entity
Organization
Contact information
Practice address
1771 EDGEWOOD AVE W, SUITE 6B, JACKSONVILLE, FL 32208-3278
(904) 768-9966
(904) 765-1655
Mailing address
1771 EDGEWOOD AVE W, SUITE 6B, JACKSONVILLE, FL 32208-3278
(904) 768-9966
(904) 367-8760
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
OT6568
FL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
PT9594
FL
Other
Enumeration date
11/01/2006
Last updated
07/05/2017
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