Organization
CLEAR LAKE INSTITUTE FOR REHABILITATION LLC
Active
Other names
PAM Rehabilitation Hospital of Clear Lake
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY F MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization
Contact information
Practice address
110 E MEDICAL CENTER BLVD, WEBSTER, TX 77598-4301
(832) 224-9500
(832) 224-9510
Mailing address
1828 GOOD HOPE RD, SUITE 102, ENOLA, PA 17025-1233
(717) 731-9660
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
283X00000X
Rehabilitation Hospital
Primary
—
TX
284300000X
Special Hospital
—
—
Other
Enumeration date
02/02/2015
Last updated
10/05/2023
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