Organization
COVERED ROSES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA LA'TREAS COLEMAN (PROGRAM MANAGER)
(832) 906-5975
Entity
Organization
Contact information
Practice address
209 HIGH ST, BRENHAM, TX 77833-3522
(832) 906-5975
Mailing address
PO BOX 1352, WALLER, TX 77484-1352
(832) 906-5975
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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