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Organization
SELOUS HEALTHCARE LLC
Active
Organization
SELOUS HEALTHCARE LLC
Active
Other names
Beyond Boundaries Pediatric Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEGROOT (CEO)
(956) 878-4094
Entity
Organization
Contact information
Practice address
704 LONGMIRE RD, SUITE 101, CONROE, TX 77304-1850
(936) 441-2500
(936) 539-2515
Mailing address
517 COTTONWOOD CREEK RD, DRIPPING SPRINGS, TX 78620-3993
(866) 524-7773
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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