MDR COMMUNITY LIVING NPI 1275867830

NPI Information

MDR COMMUNITY LIVING 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. MDR COMMUNITY LIVING NPI is 1275867830. The provider is registered as an organization entity type.
The provider Is Doing Business As Mdr Community Living.

The provider's business location address is:

6000 HOLLISTER ST APT 2711
HOUSTON, TX
ZIP 77040-878
Phone: (832) 455-6303

The provider's authorized official is Reginald Lamonte Lewis .
The authorized official title is Program Adminstrator and has the following contact phone number (832) 455-6303.

The enumeration date for this NPI number is 9/29/2009 and was last updated on 9/29/2009.

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:

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