Organization · NPI-2
Bluett Housing LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Cypress, TX
NPI number1316776529
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1316776529
- Entity type
- Organization (NPI-2)
- Legal business name
- Bluett Housing LLC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2024
- Certification date
- Jul 28, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
21710 Prickly Caterpillar CtCypress, TX 77433-8398
Phone 346-634-8887
Mailing address
21710 Prickly Caterpillar CtCypress, TX 77433-8398
Phone 346-634-8887
Authorized official
Carleena Davis
Member
3466348887
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