Organization
ST. NICHOLAS OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PEAKES (DIRECTOR)
(214) 608-0188
Entity
Organization
Contact information
Practice address
11727 S SAM HOUSTON PKWY W, SUITE D, HOUSTON, TX 77031-2342
(214) 608-0188
Mailing address
11727 S SAM HOUSTON PKWY W, SUITE D, HOUSTON, TX 77031-2342
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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