Provider Demographics
NPI:1629488754
Name:CONNECT 2 TOTS, LLC
Entity Type:Organization
Organization Name:CONNECT 2 TOTS, LLC
Other - Org Name:CONNECT 2 TOTS PLAYCARE AND KIDS OUTPATIENT THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KE'ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYWEATHER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:817-371-8080
Mailing Address - Street 1:PO BOX 211061
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76095-8061
Mailing Address - Country:US
Mailing Address - Phone:817-371-8080
Mailing Address - Fax:817-977-5393
Practice Address - Street 1:3112 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-7373
Practice Address - Country:US
Practice Address - Phone:817-371-8080
Practice Address - Fax:817-977-5393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center