# CUERO MANOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cuero Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316901929
- **Authorized official:** HEBER S. LACERDA (PRESIDENT/CEO)
- **Authorized official phone:** (361) 576-0694

## Contact information

- **Practice address:** 1310 E BROADWAY ST, CUERO, TX 77954-2133
- **Practice address phone:** (361) 275-9133
- **Practice address fax:** (361) 275-9136
- **Mailing address:** 1310 E BROADWAY ST, CUERO, TX 77954-2133
- **Mailing address phone:** (361) 275-9133
- **Mailing address fax:** (361) 275-9136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 112015 | TX | — |
| 314000000X | Skilled Nursing Facility | 675110 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1059270001 | TX | — |

## Other

- **Enumeration date:** 04/12/2006
- **Last updated:** 07/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000531401 | — | TX |
| 05 | — | 010810202 | — | TX |
| 05 | — | 531401 | — | TX |
| 01 | — | HH043S | BCBS BLUE LINK | TX |