Organization
SWEET HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY M SILLS (FACILITY DIRECTOR)
(281) 770-3751
Entity
Organization
Contact information
Practice address
13820 EAGLE PASS ST, HOUSTON, TX 77015-3916
(281) 770-3751
Mailing address
10911 CORNWALL LN, MISSOURI CITY, TX 77459-3374
(281) 770-3751
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
311ZA0620X
Adult Care Home Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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