Organization
SAFARI KIDS REHABILITATION CENTER,LLC
Active
Other names
Safari Kids Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESMERALDA E. GONZALEZ M.A., CCC-SLP (CO-OWNER,SPEECH LANGUAGE PATHOLOGIS)
(956) 568-4675
Entity
Organization
Contact information
Practice address
2108 CHIHUAHUA ST, SUITE# 3, LAREDO, TX 78043-3658
(956) 568-4675
(956) 568-4671
Mailing address
2108 CHIHUAHUA ST, SUITE#2, LAREDO, TX 78043-3657
(956) 568-4675
(956) 568-4671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
111552
TX
235Z00000X
Speech-Language Pathologist
100691
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
676667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NO NUMBERS AVAILABLE
—
Enumeration date
01/07/2009
Last updated
02/10/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us