Organization
FRESH-N-CLEAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRY PICKROM (CHIEF EXECUTIVE OFFICER)
(832) 517-5901
Entity
Organization
Contact information
Practice address
4560 GRIGGS RD, HOUSTON, TX 77021-2818
(832) 517-5901
(800) 918-6970
Mailing address
PO BOX 9755, HOUSTON, TX 77213-0755
(832) 717-2780
(800) 918-6970
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
08/29/2015
Last updated
04/07/2021
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