Organization
VITA-LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEATHAM MSW-AP (EXECUTIVE DIRECTOR)
(713) 292-1806
Entity
Organization
Contact information
Practice address
3300 S GESSNER RD, SUITE # 150, HOUSTON, TX 77063-5100
(713) 271-5795
(713) 981-4512
Mailing address
3300 S GESSNER RD, SUITE # 150, HOUSTON, TX 77063-5100
(713) 271-5795
(713) 981-4512
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
000600500
TX
251B00000X
Case Management Agency
001015832
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
000368401
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
000385901
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
000389501
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
760037167
TX
Other
Enumeration date
07/21/2006
Last updated
06/18/2008
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