Organization
HEAVENLY MANOR ASSISTED LIVING LLC
Active
Other names
Heavenly Manor Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MIA SINGLETON (ADMINISTRATOR/OWNER)
(713) 359-8273
Entity
Organization
Contact information
Practice address
12802 LEITRIM WAY, HOUSTON, TX 77047-3726
(281) 846-6622
(713) 264-0802
Mailing address
12802 LEITRIM WAY, HOUSTON, TX 77047-3726
(281) 846-6622
(713) 264-0802
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12802
—
TX
Enumeration date
04/30/2020
Last updated
05/06/2020
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