Organization
TRIPLE D VISTA CARE, LLC
Active
Parent organization
KEDDTON, LLC
Other names
Tripe D Vista Care, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEDDTON, LLC
Authorized official
MRS. TOLULOPE M FALOHUN (MANAGER)
(281) 301-4619
Entity
Organization
Contact information
Practice address
18943 MORANT BAY DR, RICHMOND, TX 77407-1200
(281) 301-4619
Mailing address
18943 MORANT BAY DR, RICHMOND, TX 77407-1200
(281) 301-4619
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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