# ST. DOMINIC VILLAGE

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

## Provider details

- **NPI number:** 1386726396
- **Authorized official:** GRADY MULLINS (CFO)
- **Authorized official phone:** (713) 741-8736

## Contact information

- **Practice address:** 2409 HOLCOMBE BLVD, HOUSTON, TX 77021-2023
- **Practice address phone:** (713) 741-8701
- **Practice address fax:** (713) 741-9811
- **Mailing address:** 2409 HOLCOMBE BLVD, HOUSTON, TX 77021-2023
- **Mailing address phone:** (713) 741-8701
- **Mailing address fax:** (713) 741-9811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 114382 | TX | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 06/15/2022