Organization
AVID CENTRAL TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PEAKES-TAYLOR (PRESIDENT)
(281) 993-5116
Entity
Organization
Contact information
Practice address
3305 INDUSTRIAL DR, PEARLAND, TX 77581
(281) 993-5116
Mailing address
3305 INDUSTRIAL DR, PEARLAND, TX 77581
(281) 993-5116
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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