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Organization

RECREATE

Active
Other names
Recreate
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY WEST (RECREATION THERAPIST)
(504) 453-4442
Entity
Organization

Contact information

Practice address
8512 WEST ST, HOUSTON, TX 77093-7529
(504) 453-4442
Mailing address
8512 WEST ST, HOUSTON, TX 77093-7529
(504) 453-4442

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
253Z00000X
In Home Supportive Care Agency
261QA0600X
Adult Day Care Clinic/Center
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
385H00000X
Respite Care
385HR2050X
Respite Care Camp
385HR2055X
Child Mental Illness Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
07/29/2024
Last updated
07/29/2024
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