# BACK TO LIFE REHAB LLC

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

## Provider details

- **NPI number:** 1518771781
- **Authorized official:** MS. OLGA A GONZALEZ (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (956) 800-5009

## Contact information

- **Practice address:** 1401 S 6TH ST STE B, MCALLEN, TX 78501-2959
- **Practice address phone:** (956) 800-5009
- **Mailing address:** 1401 S 6TH ST STE B, MCALLEN, TX 78501-2959
- **Mailing address phone:** (956) 800-5009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 02/06/2025