Organization
GINA ASSISTED LIVING
Active
Organization
GINA ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA E BESONG (PROGRAM MANAGER)
(832) 494-0623
Entity
Organization
Contact information
Practice address
28418 ENCHANTED SHORES LN, FULSHEAR, TX 77441-1791
(832) 494-0623
Mailing address
28418 ENCHANTED SHORES LN, FULSHEAR, TX 77441-1791
(832) 494-0623
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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