Organization
HAL'S HOME & RESIDENTIAL CARE COMMUNITY
Active
Organization
HAL'S HOME & RESIDENTIAL CARE COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARION LENESE WHITE (CFO/CEO)
(832) 596-9934
Entity
Organization
Contact information
Practice address
12514 BERRY LAUREL LN, HOUSTON, TX 77014-2445
(832) 596-9931
(832) 286-1769
Mailing address
12514 BERRY LAUREL LN, HOUSTON, TX 77014-2445
(832) 596-9931
(832) 286-1769
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/15/2018
Last updated
03/16/2021
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