Organization
RECREATE
Active
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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