# STADIUM EMERGENCY SHELTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083969562
- **Authorized official:** MS. RITA J. TRYON (SECRETARY)
- **Authorized official phone:** (713) 624-0025

## Contact information

- **Practice address:** 21882 E WALLIS DR, PORTER, TX 77365-5366
- **Practice address phone:** (832) 436-1596
- **Mailing address:** 21882 E WALLIS DR, PORTER, TX 77365-5366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2012
- **Last updated:** 07/19/2012
