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Organization

TEXAS CORF INC

Active
Other names
LIFE SKILLS THERAPY CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNNY RODRIGUEZ (OWNER/PRESIDENT)
(956) 373-0232
Entity
Organization

Contact information

Practice address
427 E DURANTA AVE, SUITE 110, ALAMO, TX 78516-3406
(956) 783-8813
Mailing address
PO BOX 1900, WESLACO, TX 78599-1900
(956) 783-8813
(956) 783-8842

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
454848
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173056601
TX
Enumeration date
06/27/2006
Last updated
12/14/2008
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