Organization
GT LIVING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GODWIN UGWUOKE (OWNER)
(832) 208-4577
Entity
Organization
Contact information
Practice address
1414 S DAIRY ASHFORD RD APT 801, HOUSTON, TX 77077-2356
(832) 208-4577
Mailing address
1414 S DAIRY ASHFORD RD APT 801, HOUSTON, TX 77077-2356
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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