| Organization Name: | SMILE N GROW REHAB, LLC |
| NPI Number: | 1194002949 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNA PATRICIA COLUNGA (ADMINISTRATOR) |
| Mailing Address: | 605 N Main St Suite D Donna |
| State: | TX US |
| Postal Code: | 785372725 |
| Phone Number: | 9564613411 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2011 |
| NPI Last Update Date: | 11/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |