Organization
2ND HOME RESIDENTIAL AND SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANDRA JOHNSON-EGESI RN (PROGRAM MANAGER)
(832) 785-4089
Entity
Organization
Contact information
Practice address
19126 MOSSY HEDGE LN, KATY, TX 77449-4133
(832) 408-0556
(281) 713-5445
Mailing address
19126 MOSSY HEDGE LN, KATY, TX 77449-4133
(832) 408-0556
(281) 713-5445
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/07/2026
Last updated
02/12/2026
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