Organization
AVONDALE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA BOYETT (C.E.O.)
(713) 993-9544
Entity
Organization
Contact information
Practice address
3737 OMEARA DR, HOUSTON, TX 77025-5560
(713) 993-9544
(713) 993-0751
Mailing address
3737 OMEARA DR, HOUSTON, TX 77025-5560
(713) 993-9544
(713) 993-0751
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
102827
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014773
—
TX
Enumeration date
08/12/2008
Last updated
08/12/2008
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