La Trece Edmonds

NPI #1316342728 in Rosharon, Texas

Provider Information

NPI Number: 1316342728
Entity Type: Individual
Name: La Trece Edmonds
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 28, 2014
Last Updated: Oct 28, 2014

Practice Location

Address: 18302 COUNTY ROAD 40
City: Rosharon
State: Texas
ZIP Code: 77583-7312
Phone: (281) 995-7917

Specialties & Taxonomy Codes

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

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Asia Janae Reed	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Rosharon	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Redemptive Place LLC	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Rosharon	AI Deep Dive
Provision Resources LLC	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Rosharon	AI Deep Dive

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