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Organization
SHEILA BOMA
Active
Organization
SHEILA BOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA BOMA ADMINISTRATOR (ADMINISTRATOR)
(512) 436-4877
Entity
Organization
Contact information
Practice address
1601 COURTNEY LN, CEDAR PARK, TX 78613-3575
(512) 436-4876
Mailing address
1601 COURTNEY LANE, CEDAR PARK, TX 78613
(512) 436-4876
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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