Provider Demographics
NPI:1801570940
Name:TREATWELL ASSISTED LIVING LLC
Entity type:Organization
Organization Name:TREATWELL ASSISTED LIVING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/AMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FUNMILAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINRIMISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-536-3843
Mailing Address - Street 1:2006 THOMPSON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-4947
Mailing Address - Country:US
Mailing Address - Phone:281-536-3843
Mailing Address - Fax:
Practice Address - Street 1:2006 THOMPSON RD STE 103
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-4947
Practice Address - Country:US
Practice Address - Phone:281-536-3843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-09
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities