Healthcare Provider Details

I. General information

NPI: 1346241338
Provider Name (Legal Business Name): GRESCO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8492 SW 8TH ST
MIAMI FL
33144-4153
US

IV. Provider business mailing address

8492 SW 8TH ST
MIAMI FL
33144-4153
US

V. Phone/Fax

Practice location:
  • Phone: 305-261-1180
  • Fax: 305-261-1906
Mailing address:
  • Phone: 305-261-1180
  • Fax: 305-261-1906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA C BINEF
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-261-1180