Provision Resources LLC

NPI #1114778180 in Rosharon, Texas

Provider Information

NPI Number: 1114778180
Entity Type: Organization
Organization Name: Provision Resources LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 28, 2024
Last Updated: Mar 28, 2024

Practice Location

Address: 7226 MOLENA CT
City: Rosharon
State: Texas
ZIP Code: 77583-4458
Phone: (281) 627-8295

Authorized Official

Name: CARISSA MARCHELLE HOPKINS
Title: MANAGING DIRECTOR
Phone: (713) 364-4725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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