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Organization

CENTERED CARE HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGILE KONGNYUY (CO OWNER)
(832) 762-8060
Entity
Organization

Contact information

Practice address
1822 W TIDWELL RD, HOUSTON, TX 77091-5400
(832) 762-8060
Mailing address
1822 W TIDWELL RD, HOUSTON, TX 77091-5400

Taxonomy

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

Other

Enumeration date
09/05/2025
Last updated
09/05/2025
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