W & Y Rehab Service, LLC
Clinic/Center in Miami Gardens, FL. Organization (NPI-2).
NPI number1124516299
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1124516299
- Entity type
- Organization (NPI-2)
- Legal business name
- W & Y Rehab Service, LLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2018
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- W & Y Rehab Service (Former Legal Business Name)
Practice location
3920 Nw 167th StMiami Gardens, FL 33054-6240
Phone 786-925-4002
Mailing address
3920 Nw 167th StMiami Gardens, FL 33054-6240
Phone 786-925-4002
Authorized official
Lexander Gonzalez
Owner
3059744586
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