Organization
GEMS RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARAM CHANNEH CEESAY RN (COO)
(425) 463-8789
Entity
Organization
Contact information
Practice address
5810 LIVERPOOL ST, AUBREY, TX 76227-1909
(425) 463-8789
Mailing address
5810 LIVERPOOL ST, AUBREY, TX 76227-1909
(425) 463-8789
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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