Gems Residence LLC

NPI #1518507110 in Aubrey, Texas

Provider Information

NPI Number: 1518507110
Entity Type: Organization
Organization Name: Gems Residence LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 10, 2020
Last Updated: Jan 10, 2020

Practice Location

Address: 5810 LIVERPOOL ST
City: Aubrey
State: Texas
ZIP Code: 76227-1909
Phone: (425) 463-8789

Authorized Official

Name: MARAM CHANNEH CEESAY, RN
Title: COO
Phone: (425) 463-8789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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