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Organization
MOTHERLAND, INC.
Active
Organization
MOTHERLAND, INC.
Active
Other names
Independence Heights Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIA GIPSON (CHIEF EXECUTIVE OFFICER)
(713) 290-0001
Entity
Organization
Contact information
Practice address
4040 YALE ST., HOUSTON, TX 77018-5928
(713) 290-0001
(713) 290-0023
Mailing address
4040 YALE ST., HOUSTON, TX 77018-5928
(713) 290-0001
(713) 290-0023
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
TX
Other
Enumeration date
03/29/2006
Last updated
03/16/2012
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