Organization
BELFRY ESTATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA CHIONUMA (PROGRAM MANAGER)
(832) 531-5379
Entity
Organization
Contact information
Practice address
4719 CREEK POINT LN, MISSOURI CITY, TX 77459-6716
(832) 531-5379
Mailing address
4719 CREEK POINT LN, MISSOURI CITY, TX 77459-6716
(832) 531-5379
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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