Organization
SPECIAL TEXAS HOMES, INC.
Active
Other names
Bosworth Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERRINE B HARRELL (PRESIDENT)
(318) 445-6470
Entity
Organization
Contact information
Practice address
5126 BOSWORTH ST, HOUSTON, TX 77017-4002
(713) 649-4340
(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
116305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45H023
TEXAS
—
Enumeration date
08/04/2006
Last updated
08/22/2020
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