Organization
AIVYS LEAGUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA IKE (PROGRAM MANAGER)
(832) 651-0601
Entity
Organization
Contact information
Practice address
2219 STONE LODGE CT, RICHMOND, TX 77469-1393
(832) 651-0601
(832) 651-0601
Mailing address
2219 STONE LODGE CT, RICHMOND, TX 77469-1393
(832) 651-0601
(832) 651-0601
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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