Organization
GENESIS II ME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEA COLEMAN JACKSON (OWER DIRECTOR)
(281) 687-2173
Entity
Organization
Contact information
Practice address
12035 MISTY VALLEY DR, HOUSTON, TX 77066-2736
(281) 687-2173
(281) 580-4962
Mailing address
12035 MISTY VALLEY DR, HOUSTON, TX 77066-2736
(281) 687-2173
(281) 580-4962
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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