Organization
ACOVILL MANAGEMENT CO., L.L.C.
Active
Other names
Kids In Action Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
IMELDA R ACOSTA (ASST. ADMINISTRATOR)
(956) 424-3733
Entity
Organization
Contact information
Practice address
2101 E GRIFFIN PKWY, MISSION, TX 78572-3228
(956) 424-3733
(956) 424-3734
Mailing address
2101 E GRIFFIN PKWY, MISSION, TX 78572-3228
(956) 424-3733
(956) 424-3734
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167185101
—
TX
Enumeration date
10/31/2005
Last updated
02/18/2009
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