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Michelle Gordon
Intellectual Disabilities Intermediate Care Facility in Missouri City, Texas
NPI 1922562941

Michelle Gordon is a Intellectual Disabilities Intermediate Care Facility based in Missouri City, TX. Michelle Gordon practices in Missouri City, TX. The NPI Number for Michelle Gordon is 1922562941 and holds a License No. (Texas).

The current practice location address for Michelle Gordon is 15314 Willview Rd, Missouri City, TX and can be reached out via phone at 281-886-6108.

Location: 15314 Willview Rd, Missouri City, TX, 77489-2403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922562941
Provider Name
Michelle Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
15314 Willview Rd, Missouri City, TX, 77489-2403
Phone Number
281-886-6108
Fax Number
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15314 Willview Rd
City
Missouri City
State
Texas
Zip
77489-2403
Phone Number
281-886-6108
Fax Number
person
Provider Business Mailing Address Details
Address
15314 Willview Rd
City
Missouri City
State
Texas
Zip
77489-2403
Phone Number
281-886-6108
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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