| NPI | 1518440494 |
|---|---|
| Doing Business As | NACOGDOCHES PEDIATRIC EXTENDED CARE |
| Entity Type | Organization |
| Authorized Contact | MISTI HAJJ Owner 318-348-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2022-08-17 |