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NPI Code Detail

MEDICARE: STAR HOME REHAB SERVICES, INC

MEDICARE: STAR HOME REHAB SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/CenterOT11871FL

General Provider Information

NPI Number : 1417206863
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAR HOME REHAB SERVICES, INC
Provider Business Mailing Address
First Line : 4611 S UNIVERSITY DR # 128
Second Line :
City : DAVIE
State : FL
Zip : 33328-3817
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4611 S UNIVERSITY DR # 128
Second Line :
City : DAVIE
State : FL
Zip : 33328-3817
Country : US
Telephone Number : 954-654-0009
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ESTHER ROSENBERG
Credential : OTR/L
Telephone Number : 954-654-0009
Provider Enumeration Date : 08/30/2012
Last Update Date : 08/30/2012

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Directions to “STAR HOME REHAB SERVICES, INC ” Practice Location

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