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NPI Code Detail

MEDICARE: HOMESTEAD REHABILITATION SERVICES, LLC

MEDICARE: HOMESTEAD REHABILITATION SERVICES, LLC
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1619118098
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMESTEAD REHABILITATION SERVICES, LLC
Provider Business Mailing Address
First Line : 4915 SW 88TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33165-6710
Country : US
Telephone Number : 786-546-0879
Fax Number :
Provider Business Practice Location Address
First Line : 4915 SW 88TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33165-6710
Country : US
Telephone Number : 786-546-0879
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MRS. HORTENSIA GUERRA
Credential :
Telephone Number : 786-546-0879
Provider Enumeration Date : 03/16/2009
Last Update Date : 03/16/2009

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Directions to “HOMESTEAD REHABILITATION SERVICES, LLC ” Practice Location

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