Organization
AID-SOURCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUNARDY MALDONADO (PRESIDENT)
(281) 898-1199
Entity
Organization
Contact information
Practice address
5542 HILLMAN ST, HOUSTON, TX 77023-3807
(281) 898-1199
Mailing address
5542 HILLMAN ST, HOUSTON, TX 77023-3807
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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