Individual provider · NPI-1

Peril Dequal Butler Jr.

Assisted Living Facility · Katy, TX

NPI number1447017496
StatusActive
Last updated in NPPESMar 5, 2024

Details

NPI
1447017496
Entity type
Individual (NPI-1)
Name
Mr. Peril Dequal Butler Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 5, 2024
Certification date
Mar 5, 2024
Last updated
Mar 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

20910 Azelea Field St
Katy, TX 77449-2288

Phone 832-702-0618

Mailing address

20910 Azelea Field St
Katy, TX 77449-2288

Phone 832-702-0618

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