NPI:
1982872883
Provider Name:
SELOUS HEALTHCARE LLC
Doing Business As: BEYOND BOUNDARIES PEDIATRIC THERAPY CENTER
Classification:
Clinic/Center - 261QR0401X
Entity Type:
Organization
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Address:
704 LONGMIRE RD
SUITE 101
CONROE, TX
ZIP 77304
Phone:
(936) 441-2500
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SELOUS HEALTHCARE LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Conroe, TX. SELOUS HEALTHCARE LLC NPI is 1982872883. The provider is registered as an organization entity type.
The provider Is Doing Business As Beyond Boundaries Pediatric Therapy Center.
The provider's business location address is:
704 LONGMIRE RD
SUITE 101
CONROE, TX
ZIP 77304-850
Phone: (936) 441-2500
Fax: (936) 539-2515
The provider's authorized official is David Degroot .
The authorized official title is Ceo and has the following contact phone number (956) 878-4094.
The enumeration date for this NPI number is 2/13/2008 and was last updated on 2/13/2008.