Organization
REJUVENATED LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE GRANT (DIRECTOR)
(281) 610-1079
Entity
Organization
Contact information
Practice address
110 HAMBRICK RD, HOUSTON, TX 77060-5728
(281) 610-1079
Mailing address
110 HAMBRICK RD, HOUSTON, TX 77060-5728
(281) 610-1079
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
6134
TX
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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