# PERMIAN BASIN REHABILITATION CENTER FOR CRIPPLED CHILDREN AND ADULTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104958701
- **Authorized official:** KIMBERLY RUBY ORTEGA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (432) 332-8244

## Contact information

- **Practice address:** 620 N ALLEGHANEY AVE, ODESSA, TX 79761-4408
- **Practice address phone:** (432) 332-8244
- **Practice address fax:** (432) 580-7428
- **Mailing address:** 620 N ALLEGHANEY AVE, ODESSA, TX 79761-4408
- **Mailing address phone:** (432) 332-8244
- **Mailing address fax:** (432) 580-7428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 02/10/2025