Provider Demographics
NPI:1538579123
Name:NATIONAL NURSING AND REHAB
Entity type:Organization
Organization Name:NATIONAL NURSING AND REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:FELIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:210-884-3681
Mailing Address - Street 1:1635 NE LOOP 410 STE 700
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1620
Mailing Address - Country:US
Mailing Address - Phone:210-822-0475
Mailing Address - Fax:210-822-0485
Practice Address - Street 1:1635 NE LOOP 410 STE 700
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1620
Practice Address - Country:US
Practice Address - Phone:210-822-0475
Practice Address - Fax:210-822-0485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health