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Periwinkle House
Intellectual Disabilities Intermediate Care Facility in Houston, Texas
NPI 1356563183

Periwinkle House is a Intellectual Disabilities Intermediate Care Facility based in Houston, TX. Periwinkle House practices in Houston, TX. The NPI Number for Periwinkle House is 1356563183 and holds a License No. 112128 (Texas).

The current practice location address for Periwinkle House is 1638 Periwinkle St, Houston, TX and can be reached out via phone at 281-448-9005 and via fax at 281-379-6068.

Location: 1638 Periwinkle St, Houston, TX, 77038-2911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356563183
Provider Name
Periwinkle House
Credential
Provider Entity Type
Organization
Address
1638 Periwinkle St, Houston, TX, 77038-2911
Phone Number
281-448-9005
Fax Number
281-379-6068
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1638 Periwinkle St
City
Houston
State
Texas
Zip
77038-2911
Phone Number
281-448-9005
Fax Number
281-379-6068
person
Provider Business Mailing Address Details
Address
1638 Periwinkle St
City
Houston
State
Texas
Zip
77038-2911
Phone Number
281-448-9005
Fax Number
281-379-6068
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
112128 (Texas)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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