Healthcare Provider Details

I. General information

NPI: 1821304130
Provider Name (Legal Business Name): ALL REHAB AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 08/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7175 SW 8TH ST STE 213
MIAMI FL
33144-4674
US

IV. Provider business mailing address

7175 SW 8TH ST STE 213
MIAMI FL
33144-4674
US

V. Phone/Fax

Practice location:
  • Phone: 305-603-7038
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MARIO T VALDES
Title or Position: OWNER
Credential: M.T.
Phone: 305-603-7038