Organization Name: | TRINITY REHAB LLC |
NPI Number: | 1144228560 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VARMAN SOMASUNDARAM (ADMINISTRATOR) |
Mailing Address: | 10224 Yale Ave Weeki Wachee |
State: | FL US |
Postal Code: | 346138375 |
Phone Number: | 3255929898 |
Fax Number: | 3525929808 |
NPI Enumeration Date: | 07/10/2005 |
NPI Last Update Date: | 05/27/2009 |
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: |