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Organization
ELITE REHAB SERVICES, L.L.C.
Active
Organization
ELITE REHAB SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANACELIA BETANCOURT M.O.T., O.T.R. (ADMINISTRATOR, MEMBER)
(956) 380-6100
Entity
Organization
Contact information
Practice address
3127 S SUGAR RD, EDINBURG, TX 78539-9627
(956) 380-6100
(956) 380-6101
Mailing address
PO BOX 4255, EDINBURG, TX 78540-4255
(956) 380-6100
(956) 380-6101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225X00000X
Occupational Therapist
554290000
TX
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181788401
—
TX
Enumeration date
08/24/2006
Last updated
02/14/2012
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