Healthcare Provider Details
I. General information
NPI: 1972749448
Provider Name (Legal Business Name): FOREST HILL REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2009
Last Update Date: 01/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1850 FOREST HILL BLVD
WEST PALM BEACH FL
33406-6064
US
IV. Provider business mailing address
1850 FOREST HILL BLVD
WEST PALM BEACH FL
33406-6064
US
V. Phone/Fax
- Phone: 561-304-4403
- Fax: 561-304-4404
- Phone: 561-304-4403
- Fax: 561-304-4404
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
ROMANO
Title or Position: CHIROPRACTOR
Credential:
Phone: 561-304-4403