Healthcare Provider Details

I. General information

NPI: 1841342961
Provider Name (Legal Business Name): SPECIAL CHEERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12570 CLAY RD
HOUSTON TX
77041-5593
US

IV. Provider business mailing address

12570 CLAY RD
HOUSTON TX
77041-5593
US

V. Phone/Fax

Practice location:
  • Phone: 713-983-0075
  • Fax: 281-858-5345
Mailing address:
  • Phone: 713-983-0075
  • Fax: 281-858-5345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number3038
License Number StateTX

VIII. Authorized Official

Name: MRS. FRITZI GLOVER-STROWMATT
Title or Position: PRESIDENT
Credential: OTR
Phone: 713-983-0075