Organization
JIMMIE L SMITH
Active
Other names
J & D Personal Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY L SMITH (BOOKKEEPER)
(281) 432-1810
Entity
Organization
Contact information
Practice address
18350 E HIGHWAY 105 STE A, CLEVELAND, TX 77328-2440
(281) 432-1810
(281) 432-1820
Mailing address
17188 OAK GROVE LN, NEW CANEY, TX 77357-3391
(281) 429-1838
(281) 432-1820
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
000456
TX
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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