Organization
LITTLE LIGHTHOUSE CHILDREN'S REHAB., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO PEREZ SLP (OWNER)
(956) 792-3277
Entity
Organization
Contact information
Practice address
202 SOUTH MAIN STREET, LA FERIA, TX 78559-8810
(956) 233-4111
(956) 233-4115
Mailing address
139 VALENCIA, BAYVIEW, TX 78566-4605
(956) 792-3277
(956) 943-9605
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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