Organization
PARADISE LANE ADULT WORKSHOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ATIVIE (MANAGER)
(713) 817-5774
Entity
Organization
Contact information
Practice address
10503 ROCKLEY RD STE 100, HOUSTON, TX 77099-3531
(713) 817-5774
(866) 933-0724
Mailing address
10503 ROCKLEY RD STE 100, HOUSTON, TX 77099-3531
(713) 817-5774
(866) 933-0724
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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