Organization
CPR CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISATOU JAWARA (ADMINISTRATOR)
18886971672
Entity
Organization
Contact information
Practice address
752 N MAIN ST UNIT 1880, MANSFIELD, TX 76063-3644
(188) 869-7167
Mailing address
752 N MAIN ST UNIT 1880, MANSFIELD, TX 76063-3644
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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