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Kelva Wayne-grady
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri City, Texas
NPI 1891251930

Kelva Wayne-grady is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Missouri City, TX. Kelva Wayne-grady practices in Missouri City, TX. The NPI Number for Kelva Wayne-grady is 1891251930 and holds a License No. (Texas).

The current practice location address for Kelva Wayne-grady is 1235 Mossridge Dr, Missouri City, TX and can be reached out via phone at 713-446-1151 and via fax at 877-349-3132.

Location: 1235 Mossridge Dr, Missouri City, TX, 77489-2129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891251930
Provider Name
Kelva Wayne-grady
Credential
Provider Entity Type
Individual
Gender
Female
Address
1235 Mossridge Dr, Missouri City, TX, 77489-2129
Phone Number
713-446-1151
Fax Number
877-349-3132
Provider Enumeration Date
02/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1235 Mossridge Dr
City
Missouri City
State
Texas
Zip
77489-4128
Phone Number
713-446-1151
Fax Number
877-349-3132
person
Provider Business Mailing Address Details
Address
1235 Mossridge Dr
City
Missouri City
State
Texas
Zip
77489-4128
Phone Number
713-446-1151
Fax Number
877-349-3132
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
person
Provider's Taxonomy Details 5
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
385HR2065X
License No.
()
Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
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