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NPI Code Detail

MEDICARE: REHAB MATTERS HOMEHEALTH INC.

MEDICARE: REHAB MATTERS HOMEHEALTH 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1417266156
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHAB MATTERS HOMEHEALTH INC.
Provider Business Mailing Address
First Line : 4321 GUNN HWY
Second Line :
City : TAMPA
State : FL
Zip : 33618-8729
Country : US
Telephone Number : 813-961-8262
Fax Number : 813-961-8264
Provider Business Practice Location Address
First Line : 8225 STATE ROAD 54
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-3016
Country : US
Telephone Number : 727-372-5206
Fax Number : 727-372-8474
Authorized Official
Title or Position : PRESIDENT
Name : MR. FERMIN BACALSO ROTEA
Credential : PT
Telephone Number : 813-961-8262
Provider Enumeration Date : 09/29/2010
Last Update Date : 04/16/2013

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