Organization
S & G COMMUNITY LIVING CENTER, INC.
Active
Other names
Pebbleshire House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE ALAN MULKEY QMRP (PRESIDENT)
(713) 598-1471
Entity
Organization
Contact information
Practice address
7865 PECAN VILLAS, HOUSTON, TX 77061
(713) 598-1471
(281) 334-7850
Mailing address
P.O. BOX 686, LEAGUE CITY, TX 77574
(713) 598-1471
(281) 334-7850
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
117286
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
TX
Other
Enumeration date
05/03/2007
Last updated
08/10/2007
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