Organization
EXTENDED OUTREACH LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELSEA S THOMAS (CO-OWNER)
(832) 573-1435
Entity
Organization
Contact information
Practice address
6709 MARIOSA ST, HOUSTON, TX 77028-5007
(832) 573-1435
Mailing address
6709 MARIOSA ST, HOUSTON, TX 77028-5007
(832) 573-1435
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/23/2021
Last updated
10/18/2021
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