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Organization

PROVISION RESOURCES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARISSA MARCHELLE HOPKINS (MANAGING DIRECTOR)
(713) 364-4725
Entity
Organization

Contact information

Practice address
7226 MOLENA CT, ROSHARON, TX 77583-4458
(281) 627-8295
Mailing address
7226 MOLENA CT, ROSHARON, TX 77583-4458
(281) 627-8295

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
03/28/2024
Last updated
03/28/2024
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