NPI 1043758626
Mgw Supportive Home Living
Practice location
- Address
- 4707 Arborvine CT, Richmond, TX 77469-5700
- Phone
- (832) 490-4444
- Fax
- (979) 793-6134
- Mailing address
- PO Box 193, Needville, TX 77461-0193
Authorised official
- Name
- Monica Monique Green
- Title
- Director
- Phone
- (832) 490-4444
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1043758626
- Entity type
- Organization
- NPI issued
- 3 Feb 2017
- Record last updated
- 15 Feb 2017
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.