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Organization
MAGNOLIA 1 HOUSE
Active
Organization
MAGNOLIA 1 HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRER BASS (PRESIDENT)
(832) 801-0294
Entity
Organization
Contact information
Practice address
505 E 38TH ST, HOUSTON, TX 77022
(832) 801-0294
Mailing address
505 E 38TH ST, HOUSTON, TX 77022
(832) 801-0294
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
04/15/2020
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