Organization
AMAZED LIVING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN DIKE (PROGRAM MANAGER)
(602) 489-8616
Entity
Organization
Contact information
Practice address
5602 W AIRPORT BLVD, HOUSTON, TX 77035-4312
(602) 489-8616
Mailing address
5602 W AIRPORT BLVD, HOUSTON, TX 77035-4312
(602) 489-8616
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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