Organization
THE LIVING PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBISI OLULEYE (PROGRAM MANAGER)
(908) 510-8251
Entity
Organization
Contact information
Practice address
11404 GLADEWATER DR, PEARLAND, TX 77584-8246
(908) 510-8251
Mailing address
11404 GLADEWATER DR, PEARLAND, TX 77584-8246
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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