Red River Rehabilitation

NPI 1174868509 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1174868509
Enumeration Date 12/12/2012
Last Updated 12/12/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RAQUEL A RAQUEL
Position SPEECH-LANGUAGE PATHOLOGIST
Phone (727) 726-6800
Fax
Practice Location
549 SKY HARBOR DR
BLDG 31
CLEARWATER FL, 33759, US
Phone (727) 726-6800
Fax
Business Location
PO BOX 831
MADILL OK, 73446-0831, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State Florida
License Number SA 11672
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According to our database, Red River Rehabilitation NPI is 1174868509, taxonomy code is 314000000X and license number is SA 11672, license state is located at Florida. Red River Rehabilitation physically located at 549 Sky Harbor Dr, Clearwater FL, 33759. NPI Number 1033115704 has the healthcare provider type.

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1174868509 NPI number is provided on an as is basis without warranty of any kind. 1174868509 is maintained by the National Plan & Provider Enumeration System. The contents of Red River Rehabilitation are for informational purposes only.