Organization
COMMUNITY PRESCRIBED PEDIATRIC EXTENDED DAY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLOTIN A ALATAN (ADMINITRATOR)
(281) 565-1733
Entity
Organization
Contact information
Practice address
2918 N RICHMOND RD, WHARTON, TX 77488-2006
(281) 565-1733
Mailing address
5610 AVIS HILL CT, FULSHEAR, TX 77441
(281) 565-1733
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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