Healthcare Provider Details

I. General information

NPI: 1548551633
Provider Name (Legal Business Name): BURGER REHABILITATION SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2011
Last Update Date: 04/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 E BIDWELL ST STE 201
FOLSOM CA
95630-3565
US

IV. Provider business mailing address

741 E KELSO AVE
FRESNO CA
93720-1708
US

V. Phone/Fax

Practice location:
  • Phone: 916-983-5915
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. ELIZABETH JOHNSON
Title or Position: HR DIRECTOR
Credential: HR
Phone: 916-983-5915