Organization
YTONJA'S CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YTONJA LATRICE KEYS (OWNER)
(832) 588-6294
Entity
Organization
Contact information
Practice address
8203 STAGEWOOD DR, HUMBLE, TX 77338-2721
(832) 588-6294
Mailing address
PO BOX 2194, HUMBLE, TX 77347-2194
(832) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
04/13/2014
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