Individual provider · Type 1 NPI
Michelle Gordon
Intellectual Disabilities Intermediate Care Facility · Missouri City, TX
NPI number
1922562941
Active
Practice location
15314 Willview Rd
Missouri City, TX 77489-2403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1922562941
Michelle Gordon's National Provider Identifier is 1922562941, issued on Jan 23, 2019. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Missouri City, TX. The record was last updated on Jan 23, 2019.