Organization
DOWNHOMEPERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN LAVERN MANTLE (OWNER)
(281) 351-0124
Entity
Organization
Contact information
Practice address
27521 CALVERT RD, TOMBALL, TX 77377-6172
(281) 351-0124
Mailing address
27521 CALVERT RD, TOMBALL, TX 77377-6172
(281) 290-8542
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12363955
TX
320700000X
Physical Disabilities Residential Treatment Facility
12363955
TX
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
Update your record
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