Provider Demographics
NPI:1598260903
Name:S & J GREEN PROPERTIES
Entity Type:Organization
Organization Name:S & J GREEN PROPERTIES
Other - Org Name:IN GOOD HANDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ROCHELL
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-812-6165
Mailing Address - Street 1:2315 HADDEN HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-3816
Mailing Address - Country:US
Mailing Address - Phone:346-812-6165
Mailing Address - Fax:832-645-0299
Practice Address - Street 1:2315 HADDEN HOLLOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-3816
Practice Address - Country:US
Practice Address - Phone:346-812-6165
Practice Address - Fax:832-645-0299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities