NPI 1003206202
Community Prescribed Pediatric Extended Day Care INC
Practice location
- Address
- 2918 N Richmond Rd, Wharton, TX 77488-2006
- Phone
- (281) 565-1733
- Mailing address
- 5610 Avis Hill CT, Fulshear, TX 77441
Authorised official
- Name
- Olotin a Alatan
- Title
- Adminitrator
- Phone
- (281) 565-1733
Registered specialties
Pediatric Skilled Nursing Facility
Primary
Registry record
- NPI
- 1003206202
- Entity type
- Organization
- NPI issued
- 27 Jan 2015
- Record last updated
- 27 Jan 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.