Organization
SPECIAL TEXAS HOME INC
Active
Other names
Burning Tree Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERRINE B HARRELL (PRESIDENT)
(218) 445-6470
Entity
Organization
Contact information
Practice address
4902 BURNING TREE DR, BAYTOWN, TX 77521-3004
(281) 838-1518
(713) 475-2332
Mailing address
4115 GALVESTON RD, HOUSTON, TX 77017-2518
(713) 475-2228
(713) 475-2332
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
116631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45H114
TEXAS
—
Enumeration date
08/04/2006
Last updated
08/22/2020
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