Organization
BRADWELL DIVERSIFIED INC.
Active
Other names
K.A.T.S. Kids Advanced Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL MALDONADO SLP- ASSISTANT (ADMINISTRATOR/OWNER)
(956) 498-5219
Entity
Organization
Contact information
Practice address
526 W 2ND ST, MERCEDES, TX 78570-2602
(956) 230-3301
(956) 391-2825
Mailing address
526 W 2ND ST, MERCEDES, TX 78570-2602
(956) 230-3301
(956) 391-2825
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
013856
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218312101
—
TX
05
—
218312102
—
TX
Enumeration date
02/02/2009
Last updated
12/28/2020
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