Organization
RHEMA LIVING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA ITOHAN OKUNBOR (PROGRAM MANAGER)
(713) 261-9897
Entity
Organization
Contact information
Practice address
6707 WIDE CREEK DR, KATY, TX 77449-6373
(713) 262-9897
(281) 855-3212
Mailing address
6707 WIDE CREEK DR, KATY, TX 77449-6373
(713) 262-9897
(281) 855-3212
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
TX
Enumeration date
03/26/2013
Last updated
03/26/2013
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