Organization
THOMPSONRESIDENTALCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATESA SEWONA MITCHELL CDA (OWNER)
(832) 267-9829
Entity
Organization
Contact information
Practice address
1478 HUNTER'S PARK, 1478 HUNTER'S PARK, MISSOURI CITY, TX 77489
(832) 267-9829
Mailing address
1478 HUNTERS PARK DR, MISSOURI CITY, TX 77489-1612
(832) 267-9829
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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