Organization
GREENLEAF ESTATES, INC.
Active
Other names
FAITH'S HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAZETTA MARIE RICHARDSON WHITE RN (VICE PRES/COO)
(832) 371-5325
Entity
Organization
Contact information
Practice address
12707 MARDI GRAS DR, HOUSTON, TX 77014-2490
(832) 371-5325
(832) 645-0299
Mailing address
12707 MARDI GRAS DR, HOUSTON, TX 77014-2490
(832) 371-5325
(832) 645-0299
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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