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TJWANA WILSON NPI 1093929739


NPI Information

NPI: 1093929739
Provider Name: TJWANA WILSON

Doing Business As: WILSON FAMILY CARING CENTER

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4600 HIGHWAY 6 N
STE 270
HOUSTON, TX
ZIP 77084
Phone: (281) 859-8672
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TJWANA WILSON is a community based residential treatment facility, intellectual and/or developmental disabilities in Houston, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. TJWANA WILSON NPI is 1093929739. The provider is registered as an organization entity type.
The provider Is Doing Business As Wilson Family Caring Center.

The provider's business location address is:

4600 HIGHWAY 6 N
STE 270
HOUSTON, TX
ZIP 77084-884
Phone: (281) 859-8672

The provider's authorized official is Tjwana Wilson .
The authorized official title is Ceo Program Director and has the following contact phone number (281) 859-8672.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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