Prairie Harbor, Llc

LBN: Prairie Harbor, Llc
Prairie Harbor, Llc is an health care organization with primary practice located at 7146 Highway 60 , Wallis TX 77485-9507. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Prairie Harbor, Llc can be contacted via phone (979) 217-1581, or through Bryant, Randall via phone (979) 217-1581.

Contact Information

Primary practice address
7146 Highway 60 Wallis TX 77485-9507
Phone: (979) 217-1581
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bryant, Randall
Phone: (979) 217-1581

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1235565797
LBN Legal business name Prairie Harbor, Llc
DBA Doing business as
Authorized official Bryant, Randall
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2013
Last updated Feb 28th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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