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Organization
GENTLE CARE LIVING CENTER
Active
Organization
GENTLE CARE LIVING CENTER
Active
Parent organization
N/A
Organization subpart
Yes
Provider details
NPI number
Legal business name
N/A
Authorized official
MS. VANAVIA NAOMI RICHARDSON N/A (DIRECTOR)
(832) 775-5203
Entity
Organization
Contact information
Practice address
12660 MEDFIELD DR, STE.418, HOUSTON, TX 77082-5432
(832) 775-5203
(832) 775-5204
Mailing address
2801 WALNUT BEND LN, STE.68, HOUSTON, TX 77042-3464
(832) 775-5203
(832) 775-5204
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029093410
—
TX
05
—
189407301
—
TX
05
—
205602001
—
TX
Enumeration date
10/28/2010
Last updated
10/28/2010
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