Organization
FUN KIDS REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE NOE OLIVAREZ (OWNER)
(956) 893-3144
Entity
Organization
Contact information
Practice address
115 W COMMERCIAL AVE, LA FERIA, TX 78559-5108
(956) 893-3144
Mailing address
25224 N KANSAS CITY, LA FERIA, TX 78559
(956) 893-3144
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2010
Last updated
10/05/2010
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