Organization Name: | K & K LIVING CENTER, INC |
NPI Number: | 1730135161 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNIE H MCGRAW (PRESIDENT) |
Mailing Address: | 16802 Judyleigh Dr Houston |
State: | TX US |
Postal Code: | 770841949 |
Phone Number: | 2818599474 |
Fax Number: | 2818598037 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 04/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 0000H08KC |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |