Organization
KNOTTS LANDING
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONALDA MARIE STELLY LVN (MANAGER/OWNER)
(281) 458-7277
Entity
Organization
Contact information
Practice address
6606 LOCKWOOD DR, HOUSTON, TX 77028-4165
(281) 458-7277
Mailing address
6606 LOCKWOOD DR, HOUSTON, TX 77028-4165
(281) 458-7277
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174704811
—
TX
Enumeration date
09/07/2012
Last updated
09/07/2012
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