| NPI | 1063624237 |
|---|---|
| Doing Business As | PEBBLESHIRE HOUSE |
| Entity Type | Organization |
| Authorized Contact | STEVE ALAN MULKEY President 713-598-1471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 117286) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-08-10 |