# KINGDOM CLASS PEDIATRIC THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KINGDOM CLASS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003101700
- **Legal business name:** KINGDOM CLASS LLC
- **Authorized official:** MRS. JAENIKQUE KAYE GRIGGS MPT, TDPT (OWNER)
- **Authorized official phone:** (979) 235-9640

## Contact information

- **Practice address:** 1610 VILLLAGE TOWNHOME DR, PASADENA, TX 77504
- **Practice address phone:** (979) 235-9640
- **Mailing address:** 1610 VILLLAGE TOWNHOME DR, PASADENA, TX 77504
- **Mailing address phone:** (979) 235-9640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2011
- **Last updated:** 06/10/2011