Organization
WATERSHED AT CLEAR LAKE
Active
Other names
WATERSHED AT CLEAR LAKE
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK S KIRSE CPA (CHIEF FINANCIAL OFFICER)
(561) 361-6608
Entity
Organization
Contact information
Practice address
200 CONGRESS PARK DR, SUITE 100, DELRAY BEACH, FL 33445-4609
(561) 361-6608
(561) 361-9857
Mailing address
20 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(561) 361-6608
(561) 361-9857
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
2210-A
TX
Other
Enumeration date
02/23/2006
Last updated
08/22/2020
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