Organization
DESIRE TO LIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA FAYE BUTLER M.ED (CEO)
(832) 512-3863
Entity
Organization
Contact information
Practice address
2220 COUNTY ROAD 144, ALVIN, TX 77511-7847
(832) 512-3863
(281) 331-0453
Mailing address
3083 SILVER CEDAR TRL, KATY, TX 77449-6280
(832) 512-3863
(281) 331-0453
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
132672
TX
3104A0625X
Assisted Living Facility (Mental Illness)
132672
TX
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
132672
TX
310500000X
Mental Illness Intermediate Care Facility
132672
TX
311500000X
Alzheimer Center (Dementia Center)
132672
TX
311ZA0620X
Adult Care Home Facility
132672
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
132672
TX
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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