OrganizationActive
Distinctive Differences
NPI 1780937714 · Assisted Living Facility (Mental Illness) · Houston, TX
Provider details
- NPI number
- 1780937714
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Cicely Gibson, Owner(281) 743-1583
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Practice location
3514 Lydia St
Houston, TX 77021-5914
Phone: (281) 743-1583
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 330467
Houston, TX 77233-0467
Registry dates
- Enumerated
- 2012-10-15
- Last updated
- 2012-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.