Organization
LARKWOOD LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN DICKERSON (OWNER/ MANAGER)
(281) 846-8183
Entity
Organization
Contact information
Practice address
269 TIMBER LN, LIVINGSTON, TX 77351-1573
(281) 846-8183
Mailing address
269 TIMBER LN, LIVINGSTON, TX 77351-1573
(281) 846-8183
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
04/19/2019
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