Organization
THE GABRIEL HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDNA M LUCE 01291950 (ADMINISTRATOR)
(936) 433-5974
Entity
Organization
Contact information
Practice address
4530 U S HIGHWAY 190 E, LIVINGSTON, TX 77351-1473
(936) 327-7075
(936) 327-5143
Mailing address
4530 U S HIGHWAY 190 E, LIVINGSTON, TX 77351-1473
(936) 327-7075
(936) 327-5143
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
000999904
TX
Other
Enumeration date
08/09/2007
Last updated
06/18/2008
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