Organization
RUTHE B. COWL REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANA MORA (ADMINISTRATIVE ASSISTANT)
(956) 722-2431
Entity
Organization
Contact information
Practice address
1220 N MALINCHE AVE, LAREDO, TX 78043-3354
(956) 722-2431
(956) 722-7553
Mailing address
1220 N MALINCHE AVE, LAREDO, TX 78043-3354
(956) 722-2431
(956) 722-7553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
59505
TX
251B00000X
Case Management Agency
39688
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
101216
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
104887
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
108458
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
116580
TX
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
615780000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032BG
BC/BS
TX
05
—
094453001
—
TX
05
—
094453003
—
TX
05
—
1689969776
—
TX
05
—
284880601
—
TX
Enumeration date
09/07/2005
Last updated
05/26/2021
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