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Individual

MS. LAKEISHA FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5631 GROVETON ST, HOUSTON, TX 77033-3307
(832) 258-1340
(713) 583-4906
Mailing address
14602 INSLEY ST, HOUSTON, TX 77045-6536
(832) 258-1340
(713) 583-4906

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
TX
311ZA0620X
Adult Care Home Facility
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
12/30/2008
Last updated
10/03/2018
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