Organization
GREENWAY MANOR PERSONAL CARE HOME
Active
Other names
Assisting Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA W BAKER PROVIDER (ADMINISTRATOR)
(281) 987-3767
Entity
Organization
Contact information
Practice address
3625 HOPPER RD, HOUSTON, TX 77093-2719
(281) 987-3767
(281) 987-0702
Mailing address
PO BOX 11700, HOUSTON, TX 77293-1700
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
119109
TX
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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