Organization
MIDEAN COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE EMMANUEL (MANAGING MEMBER)
(832) 704-9207
Entity
Organization
Contact information
Practice address
3923 REEFTON LN, MISSOURI CITY, TX 77459-5017
(832) 704-9207
Mailing address
3923 REEFTON LN, MISSOURI CITY, TX 77459-5017
(832) 704-9207
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R61070113
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/14/2020
Last updated
12/13/2025
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