Organization
REHABILITY THERAPY CENTER LLC
Active
Other names
LIFE SKILLS THERAPY CENTER OF SAN JUAN
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE RUIZ (PRESIDENT)
(956) 283-7555
Entity
Organization
Contact information
Practice address
1110 S STEWART RD STE D, SAN JUAN, TX 78589
(956) 283-7555
(956) 283-7557
Mailing address
1110 S STEWART RD STE D, SAN JUAN, TX 78589-5168
(956) 283-7555
(956) 283-7557
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210777301
—
TX
01
—
676573
MEDICARE TRAILBLAZER
TX
Enumeration date
02/23/2009
Last updated
01/10/2022
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