Organization
MEDPLEX LIVING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALENE IFUEKO EDOKPAYI (ADMINISTRATOR)
(832) 606-2575
Entity
Organization
Contact information
Practice address
19522 ELMTREE ESTATES DR, KATY, TX 77449-4326
(832) 606-2575
Mailing address
19522 ELMTREE ESTATES DR, KATY, TX 77449-4326
(832) 606-2575
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/13/2011
Last updated
04/14/2011
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