Organization
GREAT MINDS ACADEMY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA LUCIO (OWNER)
(979) 418-7165
Entity
Organization
Contact information
Practice address
309 PLANTATION DR STE P, LAKE JACKSON, TX 77566-6142
(979) 401-0965
Mailing address
309 PLANTATION DR STE P, LAKE JACKSON, TX 77566-6142
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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