Healthcare Provider Details

I. General information

NPI: 1750613733
Provider Name (Legal Business Name): VIRTUOUS RESIDENTIAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2010
Last Update Date: 02/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24002 ROCKIN SEVEN DR
HOCKLEY TX
77447-9201
US

IV. Provider business mailing address

PO BOX 160
HOCKLEY TX
77447-0160
US

V. Phone/Fax

Practice location:
  • Phone: 713-533-8254
  • Fax: 888-466-9776
Mailing address:
  • Phone: 713-533-8254
  • Fax: 888-466-9776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. VICTORIA JOHNSON
Title or Position: CEO
Credential:
Phone: 713-533-8254