Organization
WILSON CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY BANGURA RN (PROGRAM MANAGER)
(346) 978-1996
Entity
Organization
Contact information
Practice address
6703 STONECROSS CREEK LN, KATY, TX 77449
(346) 978-1996
Mailing address
6703 STONECROSS CREEK LN, KATY, TX 77449
(346) 978-1996
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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