Organization
KATHLEEN'S COMMUNITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD CHRISTOPHER EDWARDS SR. (MANAGER)
(713) 729-6554
Entity
Organization
Contact information
Practice address
6318 SHERINGHAM ST, HOUSTON, TX 77085-3245
(713) 729-6554
Mailing address
6318 SHERINGHAM ST, HOUSTON, TX 77085-3245
(713) 729-6554
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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