Organization
IMMACULATE LIVING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA COCO EMBOLA (PRESIDENT)
(361) 549-2954
Entity
Organization
Contact information
Practice address
12401 OVERBROOK LN, #61D, HOUSTON, TX 77077-5859
(361) 549-2954
Mailing address
12401 OVERBROOK LN, #61D, HOUSTON, TX 77077-5859
(361) 549-2954
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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