person
Boniswa Portia Maduna
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Houston, Texas
NPI 1144877481

Boniswa Portia Maduna is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Houston, TX. Boniswa Portia Maduna practices in Houston, TX. The NPI Number for Boniswa Portia Maduna is 1144877481 and holds a License No. (Texas).

The current practice location address for Boniswa Portia Maduna is 8000 Cook Rd Apt 1109, Houston, TX and can be reached out via phone at 832-805-0933.

Location: 8000 Cook Rd Apt 1109, Houston, TX, 77072-3939
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Provider Profile Details
NPI Number
1144877481
Provider Name
Boniswa Portia Maduna
Credential
Provider Entity Type
Individual
Gender
Female
Address
8000 Cook Rd Apt 1109, Houston, TX, 77072-3939
Phone Number
832-805-0933
Fax Number
Provider Enumeration Date
08/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8000 Cook Rd Apt 1109
City
State
Zip
77072-3939
Phone Number
832-805-0933
Fax Number
person
Provider Business Mailing Address Details
Address
8000 Cook Rd Apt 1109
City
State
Zip
77072-3939
Phone Number
832-805-0933
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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