Organization · NPI-2
A A Matthsarah LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Katy, TX
NPI number1306421847
StatusActive
Last updated in NPPESMar 16, 2021
Details
- NPI
- 1306421847
- Entity type
- Organization (NPI-2)
- Legal business name
- A A Matthsarah LLC
- Organization subpart
- No
- Enumeration date
- Mar 16, 2021
- Certification date
- Mar 16, 2021
- Last updated
- Mar 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
6514 Dogwood Park CtKaty, TX 77449-6755
Phone 713-834-7762
Mailing address
6514 Dogwood Park CtKaty, TX 77449-6755
Phone 713-834-7762
Authorized official
Oluwarotimi Adeyeri
C.E.O
7138347762
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