NPI 1003010166

Guardian Living Services INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Houston, TX

Practice location

Address: 11970 Wilcrest Dr. Suite 102, Houston, TX 77031
Phone: (281) 530-6780
Fax: (281) 530-8188
Mailing address: PO Box 769, Fresno, TX 77545-0769

Authorised official

Name: Christina Etuk Kizzee
Title: President
Phone: (281) 530-6780

Registered specialties (5)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 001007700 (TX)

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Registry record

NPI: 1003010166
Entity type: Organization
NPI issued: 13 Jun 2007
Record last updated: 23 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.