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Organization

CONLY'S ASSISTED LIVING HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. IVORY LEE PETE BUSINESS MANAGMENT (OWNER)
(281) 706-3717
Entity
Organization

Contact information

Practice address
6819 MORROW ST, HOUSTON, TX 77091-2321
(713) 697-1792
(713) 695-5554
Mailing address
PO BOX 73723, HOUSTON, TX 77273-3723
(281) 209-3710
(713) 695-5554

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
101623
TX

Other

Enumeration date
09/09/2008
Last updated
09/09/2008
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