Organization
MARIGOLD COTTAGEPCH@WALLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE HIVALE (OWNER/MANAGER)
(713) 468-8059
Entity
Organization
Contact information
Practice address
1802 MALLARD DR, HOUSTON, TX 77043-2915
(713) 468-8059
(713) 721-0226
Mailing address
10222 SHADOW WOOD DR, HOUSTON, TX 77043-2938
(713) 468-8059
(713) 721-0226
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
126128
TX
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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