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Organization

KINGDOM CLASS PEDIATRIC THERAPY

Active
Parent organization
KINGDOM CLASS LLC
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
06/10/2011
Last updated
06/10/2011
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