Organization
A NEW HOME FOR MOM & DAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBETH BLACKERBY (OWNER/DIRECTOR)
(832) 258-5433
Entity
Organization
Contact information
Practice address
600 MASON ST, TOMBALL, TX 77375-4477
(832) 258-5433
(281) 516-0991
Mailing address
24824 STANOLIND RD, TOMBALL, TX 77375-3170
(832) 258-5433
(281) 516-0991
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
12/27/2008
Last updated
12/27/2008
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