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Organization

OPTIMUM KIDS LTD

Active
Parent organization
OPTIMUM KIDS LTD
Other names
Alton Rehab for Kids, All Around Therapy
Organization subpart
Yes

Provider details

NPI number
Legal business name
OPTIMUM KIDS LTD
Authorized official
JESSYCA LOPEZ (OWNER)
(956) 600-7921
Entity
Organization

Contact information

Practice address
1240 E US BUSINESS 83, MISSION, TX 78572
(956) 664-9955
(956) 664-9957
Mailing address
1240 E BUSINESS 83 STE A, MISSION, TX 78572-9600
(956) 600-7921
(956) 600-7923

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1631301
TX
Enumeration date
02/08/2006
Last updated
11/04/2020
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