Organization
JED, INC
Active
Other names
HAMLIN HOUSE/CHATEAUWOODLANDS ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DAWN AMBER CHURCHILL (SECRETARY)
(832) 202-4958
Entity
Organization
Contact information
Practice address
1507 HAMLIN VALLEY DR, HOUSTON, TX 77090-2417
(832) 249-7677
Mailing address
327 TALLOW DR, CONROE, TX 77385-9533
(832) 884-3839
(281) 296-0066
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
121886
TX
302R00000X
Health Maintenance Organization
Primary
122032
TX
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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