Organization
A AMOR DE MADRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPA GANGI (C.E.O.)
(318) 243-3060
Entity
Organization
Contact information
Practice address
5923 WHITE RIVER PASS LN, SUGAR LAND, TX 77479-3672
(318) 243-3060
Mailing address
5923 WHITE RIVER PASS LN, SUGAR LAND, TX 77479-3672
(318) 243-3060
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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