Organization
MONROVIA ROCK
Active
Parent organization
UNIQUE MEMORIES
Other names
unique memories
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIQUE MEMORIES
Authorized official
MR. THEODORE EBENEZER TAYLOR SR. (MANAGER)
(281) 879-9100
Entity
Organization
Contact information
Practice address
14165 BISSONNET ST, SUITE NUMBER P, HOUSTON, TX 77083-6356
(281) 879-9100
(281) 879-9102
Mailing address
14165 BISSONNET ST, SUITE NUMBER P, HOUSTON, TX 77083-6356
(281) 879-9100
(281) 879-9102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
TX
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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