Organization
FOUR J'S COMMUNITY LIVING CENTERS, INC.
Active
Parent organization
N/A
Organization subpart
Yes
Provider details
NPI number
Legal business name
N/A
Authorized official
ANTHONIA UDUMA (DIRECTOR/CEO)
(713) 981-6206
Entity
Organization
Contact information
Practice address
9207 COUNTRY CREEK DR, SUITE 200, HOUSTON, TX 77036-7714
(713) 981-6206
(713) 981-6839
Mailing address
PO BOX 770159, HOUSTON, TX 77215-0159
(713) 981-6206
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063623726
—
TX
Enumeration date
05/24/2007
Last updated
04/24/2020
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