Upscale Revitalazation Community in Stafford - Developmental Therapist
Upscale Revitalazation Community - NPI 1700046224
Upscale Revitalazation Community is a Developmental Therapist in Stafford, Texas. Upscale Revitalazation Community practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Upscale Revitalazation Community is 1700046224. The last update date is 2008-06-10.
Upscale Revitalazation Community's current location address is 869 Dulles Ave Ste D, Stafford, Texas. You can contact this provider via phone number 8327986878. The mailing address for Upscale Revitalazation Community is 869 Dulles Ave Ste D, Stafford, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upscale Revitalazation Community |
|---|---|
| Address | 869 Dulles Ave Ste D, Stafford, Texas |
| Phone Number | 8327986878 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Glover Renard Rivers |
| Telephone Number | 8327986878 |
NPI Number Detail
| NPI Number | 1700046224 |
|---|---|
| Provider Enumeration Date | 2008-06-10 |
| Last Updated Date | 2008-06-10 |
Provider Mailing Address Detail
| Address | 869 Dulles Ave Ste D |
|---|---|
| City | Stafford |
| State | Texas (TX) |
| Post Code | 774775754 |
| Phone Number | 8327986878 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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What is the unique identification code assigned to Upscale Revitalazation Community by the Centers for Medicare & Medicaid Services?
The Upscale Revitalazation Community has been issued the NPI (National Provider Identifier) 1700046224. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Upscale Revitalazation Community is physically located?
The Upscale Revitalazation Community is situated at the following address: 869 Dulles Ave Ste D, Stafford, TX 774775754.
What is Upscale Revitalazation Community's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Upscale Revitalazation Community is Developmental Therapist, and the taxonomy classification code that categorizes this area of expertise is 222Q00000X.
On what date did the Upscale Revitalazation Community receive the assignment of its 1700046224 from the Centers for Medicare & Medicaid Services?
The Upscale Revitalazation Community was issued its 1700046224 by the Centers for Medicare & Medicaid Services on 2008-06-10.
As of what date was the information regarding Upscale Revitalazation Community, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Upscale Revitalazation Community, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-10.