| Organization Name: | CHILDRENS CARE REHABILITATION CENTER LLC |
| NPI Number: | 1649362575 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YVONNE THERESA CASTELAN (PRESIDENT-CEO) |
| Mailing Address: | 128 N Daniel Salinas Blvd Donna |
| State: | TX US |
| Postal Code: | 785372926 |
| Phone Number: | 9564641002 |
| Fax Number: | 9564641007 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 11/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 552970000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |