NPI 1003194358

Star Community Living INC

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

Practice location

Address: 7639 Beechnut St, Houston, TX 77074-4301
Phone: (832) 537-3207
Fax: (713) 773-1739

Authorised official

Name: Peter Madukwe
Title: Administrator
Phone: (832) 537-3207

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1003194358
Entity type: Organization
NPI issued: 3 Aug 2011
Record last updated: 3 Aug 2011

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.