Organization Name: | ALL CITY FAMILY HEALTH CORP |
NPI Number: | 1003901687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC M ORDONEZ (OWNER) |
Mailing Address: | 4721 E Moody Blvd Bldg 1 Suite 103 Bunnell |
State: | FL US |
Postal Code: | 321107706 |
Phone Number: | 3865861229 |
Fax Number: | 3865862887 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |