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General NPI Number Information
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NPI Number | 1255943288
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Entity Type | Organization
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Legal Business Name | LUTZ REHAB AND HEALTH CENTER LLC
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 19091 N DALE MABRY HWY
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City | LUTZ
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State | FL
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Zip | 33548-4982
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Country | US
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Telephone | 813-751-0557
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 GATES AVE
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City | BROOKLYN
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State | NY
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Zip | 11221-6295
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Country | US
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Telephone | 718-852-7000
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Fax |
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Authorized Official
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Title or Position | CORPORATE ADMINISTRATOR
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Name | RACHEL SCHUSTER
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Credential | LNHA
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Telephone | 305-458-3835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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