Provider Demographics
NPI:1467790311
Name:B.A.T.E.S. PLACE, INC.
Entity Type:Organization
Organization Name:B.A.T.E.S. PLACE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD OF DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:CAROLYNE
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:361-482-9994
Mailing Address - Street 1:623 N VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:PORT LAVACA
Mailing Address - State:TX
Mailing Address - Zip Code:77979-3021
Mailing Address - Country:US
Mailing Address - Phone:361-552-0195
Mailing Address - Fax:361-552-0195
Practice Address - Street 1:623 N VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:PORT LAVACA
Practice Address - State:TX
Practice Address - Zip Code:77979-3021
Practice Address - Country:US
Practice Address - Phone:361-552-0195
Practice Address - Fax:361-552-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation