Organization
JR PEREZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL NICOLE PEREZ (CEO)
(832) 788-7571
Entity
Organization
Contact information
Practice address
8128 LENORE ST, HOUSTON, TX 77017-4627
(832) 788-7571
Mailing address
8128 LENORE ST, HOUSTON, TX 77017-4627
(832) 788-7571
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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