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Organization

MOTHERLAND, INC.

Active
Other names
Independence Heights Community Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
TIA GIPSON (CHIEF EXECUTIVE OFFICER)
(713) 290-0001
Entity
Organization

Contact information

Practice address
4040 YALE ST., HOUSTON, TX 77018-5928
(713) 290-0001
(713) 290-0023
Mailing address
4040 YALE ST., HOUSTON, TX 77018-5928
(713) 290-0001
(713) 290-0023

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
TX

Other

Enumeration date
03/29/2006
Last updated
03/16/2012
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