Organization
MGW SUPPORTIVE HOME LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MONIQUE GREEN (DIRECTOR)
(832) 490-4444
Entity
Organization
Contact information
Practice address
4707 ARBORVINE CT, RICHMOND, TX 77469-5700
(832) 490-4444
(979) 793-6134
Mailing address
PO BOX 193, NEEDVILLE, TX 77461-0193
(832) 490-4444
(979) 793-6134
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/03/2017
Last updated
02/15/2017
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