Organization
HEAVENLY MANOR I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA SINGLETON (HEALTH CARE SERVICES ADMINISTRATOR)
(713) 359-8273
Entity
Organization
Contact information
Practice address
12511 DONEGAL WAY, HOUSTON, TX 77047-2809
(713) 359-8273
Mailing address
14463 BENNINGCREST LN, HOUSTON, TX 77047-7527
(713) 359-8273
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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