# CLASSIC GROUP H OME

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

## Provider details

- **NPI number:** 1093899445
- **Authorized official:** MS. SHIRLEY ANN SHAW (OWNER)
- **Authorized official phone:** (281) 452-4661

## Contact information

- **Practice address:** 1454 SOMERCOTES LN, CHANNELVIEW, TX 77530-2258
- **Practice address phone:** (281) 452-4661
- **Practice address fax:** (281) 452-4639
- **Mailing address:** 1454 SOMERCOTES LN, CHANNELVIEW, TX 77530-2258
- **Mailing address phone:** (281) 452-4661
- **Mailing address fax:** (281) 452-4639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 115384 | TX | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 07/16/2013
