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Organization
SUNSHINE REHAB, LLC
Active
Organization
SUNSHINE REHAB, LLC
Active
Other names
Sunshine Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL CALDERON (BUSINESS MANAGER)
(956) 281-1274
Entity
Organization
Contact information
Practice address
875 S SAM HOUSTON BLVD STE D, SAN BENITO, TX 78586-3062
(956) 281-1274
Mailing address
875 S SAM HOUSTON BLVD STE D, SAN BENITO, TX 78586-3062
(956) 281-1274
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15637
STATE OF TEXAS SPEECH BOARD NUMBER FOR CLINICAL MANAGER
TX
01
—
NONE
WE CURRENTLY ARE A NEW PRACTICE PENDING CMS PAPERWORK
TX
Enumeration date
03/17/2010
Last updated
03/17/2010
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