Provider Demographics
NPI:1710296082
Name:DREAMS QUALITY CARE AND REHABILITATON
Entity Type:Organization
Organization Name:DREAMS QUALITY CARE AND REHABILITATON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:O
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-330-2133
Mailing Address - Street 1:1825 OLD CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-5574
Mailing Address - Country:US
Mailing Address - Phone:281-762-2868
Mailing Address - Fax:281-762-2868
Practice Address - Street 1:1825 OLD CREEK DR
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-5574
Practice Address - Country:US
Practice Address - Phone:281-762-2868
Practice Address - Fax:281-762-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities