Organization
EZEKIEL GRANT INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES GRANT (OWNER)
(832) 863-1556
Entity
Organization
Contact information
Practice address
440 BENMAR DR STE 1395, HOUSTON, TX 77060-3172
(832) 863-1556
Mailing address
440 BENMAR DR STE 1395, HOUSTON, TX 77060-3172
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804467126
BUSINESS CODED
TX
Enumeration date
04/11/2022
Last updated
04/11/2022
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