Forgotten Angels
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pearland, TX. Organization (NPI-2).
NPI number1205037066
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1205037066
- Entity type
- Organization (NPI-2)
- Legal business name
- Forgotten Angels
- Organization subpart
- No
- Enumeration date
- May 30, 2007
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
3305 Industrial DrPearland, TX 77581-5907
Phone 819-935-1162 · Fax 281-412-5060
Mailing address
7918 Broadway St Ste 104Pearland, TX 77581-7758
Phone 281-412-6435 · Fax 281-412-5060
Authorized official
Amanda Peakes-Taylor
Program Director
2819935116
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