MEDICARE: CPL INDUSTRIES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	102090	TX

General Provider Information

NPI Number	:	1568707230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CPL INDUSTRIES, LLC

Provider Business Mailing Address
First Line	:	P.O. BOX 667566
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77266
Country	:	UM
Telephone Number	:	713-364-2344
Fax Number	:

Provider Business Practice Location Address
First Line	:	2106 HOLMAN ST
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77004-4240
Country	:	US
Telephone Number	:	713-364-2344
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	LATIA PACELY
Credential	:	MS, CCC/SLP
Telephone Number	:	713-364-2344

Provider Enumeration Date	:	12/06/2012
Last Update Date	:	06/20/2018

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