Organization
BOUNTIFUL LIVING RESIDENTIAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIZA AVA FOSTER (PRESIDENT)
(281) 250-7207
Entity
Organization
Contact information
Practice address
7010 DESERT BLUFF LN, RICHMOND, TX 77407-3824
(281) 250-7207
(281) 232-2169
Mailing address
7010 DESERT BLUFF LN, RICHMOND, TX 77407-3824
(281) 250-7207
(281) 232-2169
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2009
Last updated
07/17/2019
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