Organization
BELLA VITA GROUP HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN OBILO (DIRECTOR)
(832) 881-0312
Entity
Organization
Contact information
Practice address
4034 WHEAT HARVEST LN, KATY, TX 77494-6739
(832) 881-0312
(832) 913-6470
Mailing address
4034 WHEAT HARVEST LN, KATY, TX 77494-6739
(832) 881-0312
(832) 913-6470
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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