Organization
KIAM CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAQUANITA SHANEL SHOTOMIWA (RN NURSE)
(713) 542-7748
Entity
Organization
Contact information
Practice address
20318 BANDERA LAKE LN, RICHMOND, TX 77407-1505
(713) 542-7748
Mailing address
20318 BANDERA LAKE LN, RICHMOND, TX 77407-1505
(713) 542-7748
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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