Organization
RONNIE WELLS
Active
Parent organization
RONNIE WELLS
Other names
HOUSE OF STARS
Organization subpart
Yes
Provider details
NPI number
Legal business name
RONNIE WELLS
Authorized official
RONNIE WELLS (C.E.O.)
(936) 419-6015
Entity
Organization
Contact information
Practice address
1105 WEST WASHINGTON AVE., NAVASOTA, TX 77868
(936) 870-3311
(936) 870-3321
Mailing address
PO BOX 456, NAVASOTA, TX 77868-0456
(936) 419-6015
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/03/2006
Last updated
02/02/2024
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