Organization
MARILYN DICKERSON
Active
Other names
Larkwood Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN FAYE DICKERSON REGISTERED NURSE (OWNER - MANAGER)
(713) 988-4871
Entity
Organization
Contact information
Practice address
8910 MARINETTE DR, HOUSTON, TX 77074-6806
(713) 988-4871
(713) 988-6117
Mailing address
8910 MARINETTE DR, HOUSTON, TX 77074-6806
(713) 988-4871
(713) 988-6117
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
12/17/2007
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