Organization
MEMEEHA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS SCOTT JENKINS (FACILITY DIRECTOR)
(979) 543-4186
Entity
Organization
Contact information
Practice address
1909 WEST LOOP, EL CAMPO, TX 77437-8014
(979) 543-4186
Mailing address
1909 WEST LOOP, EL CAMPO, TX 77437-8014
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
131002
TX
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
131389
TX
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
131887
TX
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
132468
TX
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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