Organization
ANGELINA REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINOD R SOHINI DPT (OWNER)
(936) 632-2107
Entity
Organization
Contact information
Practice address
402 S JOHN REDDITT DR, LUFKIN, TX 75904-3107
(936) 632-2107
(936) 632-2108
Mailing address
402 S JOHN REDDITT DR, LUFKIN, TX 75904-3107
(936) 632-2107
(936) 632-2108
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
1082055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454887
MEDICARE PART A ID - CORF
TX
Enumeration date
10/19/2006
Last updated
01/07/2020
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