Organization
INNOVATIONS HEALTHCARE REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAIN HANNAGAN (ADMINISTRATOR)
(915) 855-3363
Entity
Organization
Contact information
Practice address
1941 SAUL KLEINFELD DR, 107, EL PASO, TX 79936-3774
(915) 855-3363
(915) 855-6100
Mailing address
5971 CORNHUSK LN, EL PASO, TX 79932-2303
(915) 855-3363
(915) 855-6100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1159340
TX
174400000X
Specialist
3112
NM
Other
Enumeration date
12/07/2010
Last updated
01/28/2015
About Stedi
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