Organization
CUERO MANOR, INC.
Active
Other names
Cuero Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
HEBER S. LACERDA (PRESIDENT/CEO)
(361) 576-0694
Entity
Organization
Contact information
Practice address
1310 E BROADWAY ST, CUERO, TX 77954-2133
(361) 275-9133
(361) 275-9136
Mailing address
1310 E BROADWAY ST, CUERO, TX 77954-2133
(361) 275-9133
(361) 275-9136
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
112015
TX
314000000X
Skilled Nursing Facility
Primary
675110
TX
332B00000X
Durable Medical Equipment & Medical Supplies
1059270001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000531401
—
TX
05
—
010810202
—
TX
05
—
531401
—
TX
01
—
HH043S
BCBS BLUE LINK
TX
Enumeration date
04/12/2006
Last updated
07/01/2009
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