Organization
DEDICATED CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULIAT GIWA (C.E.O.)
(203) 243-1361
Entity
Organization
Contact information
Practice address
13035 CRESSIDA GLEN LN, HOUSTON, TX 77072-0111
(203) 243-1361
Mailing address
13035 CRESSIDA GLEN LN, HOUSTON, TX 77072-0111
(203) 243-1361
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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