Organization
K & K LIVING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNIE H MCGRAW (PRESIDENT)
(281) 859-9474
Entity
Organization
Contact information
Practice address
16802 JUDYLEIGH DR, HOUSTON, TX 77084-1949
(281) 859-9474
(281) 859-8037
Mailing address
PO BOX 842679, HOUSTON, TX 77284-2679
(281) 859-9474
(281) 859-8037
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
000738701/ 000759701
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
0000H08KC
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000738701
—
TX
05
—
000759701
—
TX
05
—
001009322
—
TX
Enumeration date
05/26/2006
Last updated
04/11/2011
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