Organization
AHIDI RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIOLET ISUFI RN (CEO)
(713) 380-7600
Entity
Organization
Contact information
Practice address
10851 W MONTFAIR BLVD, 5318, THE WOODLANDS, TX 77382-2925
(713) 380-7600
Mailing address
10851 W MONFAIR BLVD, APT 5318, THE WOODLANDS, TX 77382
(713) 380-7600
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
479275428
TX
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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