Organization
HARBORAGE CARE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVORAH ANN LOSTON (OWNER)
(832) 373-7334
Entity
Organization
Contact information
Practice address
19311 BOULDER BAY LN, HUMBLE, TX 77346-3731
(832) 373-7334
Mailing address
19311 BOULDER BAY LN, HUMBLE, TX 77346-3731
(832) 373-7334
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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