Organization
ST. DOMINIC VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRADY MULLINS (CFO)
(713) 741-8736
Entity
Organization
Contact information
Practice address
2409 HOLCOMBE BLVD, HOUSTON, TX 77021-2023
(713) 741-8701
(713) 741-9811
Mailing address
2409 HOLCOMBE BLVD, HOUSTON, TX 77021-2023
(713) 741-8701
(713) 741-9811
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
114382
TX
Other
Enumeration date
10/19/2006
Last updated
06/15/2022
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