Organization
GENTLE CARE LIVING CENTER
Active
Parent organization
GENTLE CARE LIVING CENTER
Other names
Prosperity Behavioral Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENTLE CARE LIVING CENTER
Authorized official
MISS VANAVIA NAOMI RICHARDSON MBA (DIRECTOR)
(832) 775-5203
Entity
Organization
Contact information
Practice address
2801 WALNUT BEND LN, STE.68, HOUSTON, TX 77042-3464
(832) 775-5203
(281) 431-8402
Mailing address
2801 WALNUT BEND LN, STE.68, HOUSTON, TX 77042-3464
(832) 775-5203
(281) 431-8402
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
02673955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02673955
MEDICAID/ MEDICARE
TX
Enumeration date
01/19/2011
Last updated
01/19/2011
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