Child Care Therapy, LLC
Home Health in Roanoke, TX. Organization (NPI-2).
NPI number1083000764
StatusActive
Last updated in NPPESJun 30, 2018
Details
- NPI
- 1083000764
- Entity type
- Organization (NPI-2)
- Legal business name
- Child Care Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2015
- Last updated
- Jun 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
1756 Halifax StRoanoke, TX 76262
Phone 310-975-5043
Mailing address
1756 Halifax StRoanoke, TX 76262-1388
Phone 469-993-8028 · Fax 844-269-9518
Authorized official
Robert Gussoni
Founder/Ceo
4699938028
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