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Organization

VIP ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBRA GOODLY (DIRECTOR)
(832) 216-7504
Entity
Organization

Contact information

Practice address
6703 NEW YORK ST, HOUSTON, TX 77021-5047
(713) 747-6600
Mailing address
6703 NEW YORK ST, HOUSTON, TX 77021-5047
(713) 747-6600

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
113641
TX

Other

Enumeration date
04/26/2007
Last updated
08/22/2020
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