Organization
EZ LIVING RESIDENTIAL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HATTIE M BANKS (ADMINISTRATOR)
(832) 230-1769
Entity
Organization
Contact information
Practice address
5823 MOUNT HOUSTON RD, HOUSTON, TX 77050-5429
(832) 230-1769
(832) 230-1769
Mailing address
5823 MOUNT HOUSTON RD, HOUSTON, TX 77050-5429
(832) 230-1769
(832) 230-1769
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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