Organization
ASSURED CHOICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY WHITLEY LVN (CEO)
(317) 526-3161
Entity
Organization
Contact information
Practice address
28426 BUFFALO FORK LN, KATY, TX 77494-2476
(317) 526-3161
Mailing address
28426 BUFFALO FORK LN, KATY, TX 77494-2476
(317) 526-3161
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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