Organization
JUMPSTART PLUS LLC
Active
Other names
JUMPSTART PLUS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ED WILSON (ADMINSTRATIVE OFFICER)
(956) 369-8628
Entity
Organization
Contact information
Practice address
908 W EDINBURG AVE, ELSA, TX 78543-1769
(956) 369-8628
(202) 640-4357
Mailing address
908 W EDINBURG AVE, ELSA, TX 78543-1769
(956) 369-8628
(202) 640-4357
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
02/26/2019
Last updated
03/12/2019
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