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Organization

IDA'S HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY DEONE TURNER (EXECUTIVE DIRECTO)
(713) 505-5210
Entity
Organization

Contact information

Practice address
12265 FONDREN RD, 1501, HOUSTON, TX 77035-4066
(713) 505-5210
Mailing address
12265 FONDREN RD, 1501, HOUSTON, TX 77035-4066
(713) 505-5210

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
09/17/2010
Last updated
09/17/2010
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