Conly's Assisted Living Home | |
6819 Morrow St Houston TX 77091-2321 | |
(713) 697-1792 | |
(713) 695-5554 |
Full Name | Conly's Assisted Living Home |
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Speciality | Clinic/center - Adult Mental Health |
Location | 6819 Morrow St, Houston, Texas |
Authorized Official Name and Position | Ivory Lee Pete (OWNER) |
Authorized Official Contact | 2817063717 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Conly's Assisted Living Home Po Box 73723 Houston TX 77273-3723 Ph: (281) 209-3710 | Conly's Assisted Living Home 6819 Morrow St Houston TX 77091-2321 Ph: (713) 697-1792 |
NPI Number | 1407005929 |
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Provider Enumeration Date | 09/09/2008 |
Last Update Date | 09/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407005929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 101623 (Texas) | Primary |
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