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Organization
HOLD ON FAITHFULLY
Active
Organization
HOLD ON FAITHFULLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAUNTA LA'FAYE BONNER (MANAGER /LVN)
(713) 775-0254
Entity
Organization
Contact information
Practice address
15506 HOLLOW CYPRESS CT, HOUSTON, TX 77049-2526
(713) 775-0254
Mailing address
15506 HOLLOW CYPRESS COURT, HOUSTON, TX 77049
(713) 775-0254
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
196755
TX
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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