Organization
HEAVENLY MANOR II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA SINGLETON PH.D (OWNER)
(713) 359-8273
Entity
Organization
Contact information
Practice address
12738 LEITRIM WAY, HOUSTON, TX 77047
(281) 846-6622
Mailing address
12738 LEITRIM WAY, HEAVENLY MANOR ASL, HOUSTON, TX 77047
(713) 359-8273
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F500308520
—
TX
Enumeration date
02/24/2022
Last updated
02/24/2022
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