Organization
IMPACT LIFE HOME HEALTH, LLC - IMPACT LIFE REHAB SERIES
Active
Other names
Impact Life Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS RODOLFO FLORES SLP (MANAGING MEMBER)
(956) 455-5587
Entity
Organization
Contact information
Practice address
9475 LOS OLMOS, LOS FRESNOS, TX 78566-4588
(956) 455-5587
Mailing address
9475 LOS OLMOS, LOS FRESNOS, TX 78566-4588
(956) 455-5587
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
11/13/2025
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