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NPI Code Detail

MEDICARE: HIGH FIVE REHAB LLC

MEDICARE: HIGH FIVE REHAB LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295408292
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGH FIVE REHAB LLC
Provider Business Mailing Address
First Line : 102 PALO ALTO RD STE 120
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78211-3773
Country : US
Telephone Number : 210-922-1785
Fax Number : 210-922-1782
Provider Business Practice Location Address
First Line : 102 PALO ALTO RD STE 120
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78211-3773
Country : US
Telephone Number : 210-922-1785
Fax Number : 210-922-1782
Authorized Official
Title or Position : OWNER
Name : JUAN E. PEREZ
Credential :
Telephone Number : 210-922-1785
Provider Enumeration Date : 07/27/2021
Last Update Date : 01/03/2024

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Directions to “HIGH FIVE REHAB LLC ” Practice Location

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