Provider Demographics
NPI:1487843439
Name:CARE REHABILITATION CENTER
Entity Type:Organization
Organization Name:CARE REHABILITATION CENTER
Other - Org Name:LIFE CARE CHIROPRACTIC & REHAB CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-881-8000
Mailing Address - Street 1:6065 MONTANA AVE
Mailing Address - Street 2:SUITE C-9
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-1835
Mailing Address - Country:US
Mailing Address - Phone:915-881-8000
Mailing Address - Fax:915-881-8108
Practice Address - Street 1:7844 GATEWAY BLVD E
Practice Address - Street 2:SUITE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-1815
Practice Address - Country:US
Practice Address - Phone:915-532-2273
Practice Address - Fax:915-591-5567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty