# SELOUS HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beyond Boundaries Pediatric Therapy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982872883
- **Authorized official:** DAVID DEGROOT (CEO)
- **Authorized official phone:** (956) 878-4094

## Contact information

- **Practice address:** 704 LONGMIRE RD, SUITE 101, CONROE, TX 77304-1850
- **Practice address phone:** (936) 441-2500
- **Practice address fax:** (936) 539-2515
- **Mailing address:** 517 COTTONWOOD CREEK RD, DRIPPING SPRINGS, TX 78620-3993
- **Mailing address fax:** (866) 524-7773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2008
- **Last updated:** 02/13/2008
