Organization
HEAVENLY HOME LLC
Active
Organization
HEAVENLY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIANA OSE AMODU (C.E.O.)
(713) 291-8626
Entity
Organization
Contact information
Practice address
2403 VILLAGE STONE CT, KATY, TX 77493-1476
(713) 291-8626
Mailing address
2403 VILLAGE STONE CT, KATY, TX 77493-1476
(713) 291-8626
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
09/15/2022
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