Organization
GUARDIAN LIVING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA ETUK KIZZEE (PRESIDENT)
(281) 530-6780
Entity
Organization
Contact information
Practice address
11970 WILCREST DR., SUITE 102, HOUSTON, TX 77031
(281) 530-6780
(281) 530-8188
Mailing address
PO BOX 769, FRESNO, TX 77545-0769
(281) 530-6780
(281) 530-8188
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
001007700
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
001007885
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
001007886
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
001007887
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
001010519
TX
Other
Enumeration date
06/13/2007
Last updated
11/23/2015
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