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Organization
STICK CHICK ENTERPRISES, LLC
Active
Organization
STICK CHICK ENTERPRISES, LLC
Active
Parent organization
STICK CHICK ENTERPRISES
Other names
Your Daytime Daughter
Organization subpart
Yes
Provider details
NPI number
Legal business name
STICK CHICK ENTERPRISES
Authorized official
LEE ANN GROVES (ADMINISTRATOR)
(512) 238-0803
Entity
Organization
Contact information
Practice address
17630 FM 963, BERTRAM, TX 78605-3593
(512) 238-0803
Mailing address
17630 FM 963, BERTRAM, TX 78605-3593
(512) 238-0803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251E00000X
HOME AND COMMUNITY HEALTH SERVICE
TX
Enumeration date
08/08/2017
Last updated
07/21/2022
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