MARILYN DICKERSON NPI 1609073600

NPI Information

MARILYN DICKERSON 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. MARILYN DICKERSON NPI is 1609073600. The provider is registered as an organization entity type.
The provider Is Doing Business As Larkwood Living Center.

The provider's business location address is:

8910 MARINETTE DR
HOUSTON, TX
ZIP 77074-806
Phone: (713) 988-4871
Fax: (713) 988-6117

The provider's authorized official is Marilyn Faye Dickerson .
The authorized official title is Owner - Manager and has the following contact phone number (713) 988-4871.

The enumeration date for this NPI number is 7/2/2007 and was last updated on 12/17/2007.

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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