Outreach Assisted Living Facility 2

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NPI Provider: 1104038264
Contact Name: CLARKE VIVARD FAIR
Position: OWNER
Phone: (713) 459-1753

Outreach Assisted Living Facility 2 Information:

Outreach Assisted Living Facility 2 organization have npi 1104038264, taxonomy code is 310400000X with license number is 117656 VENDOR 100958 in . This Business address located in 5010 Ridgeway Dr, Houston, TX 77033 Texas. Get directions of Outreach Assisted Living Facility 2
.

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Practice Location
Address: 5010 Ridgeway Dr, Houston, TX 77033
Phone: (713) 459-1753

Business Location

Address: 5010 Ridgeway Dr, Houston, TX 77033
Phone: (713) 731-0645
Fax: (713) 998-5323

Taxonomy

Taxonomy Code: 310400000X

License Number: 117656 VENDOR 100958

License Number of State: TX

Primary Taxonomy Switch: Y

Enumeration Date: 5/3/2007

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