Marilyn Dickerson

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MARILYN DICKERSON

Doing business as

Larkwood Living Center

Practice address

8910 Marinette Dr
Houston, TX 77074-6806

Phone

(713) 988-4871

Fax

(713) 988-6117

NPI assigned

Jul 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marilyn Faye Dickerson, REGISTERED NURSE

Title

Owner - Manager

Phone

(713) 988-4871

Specialties & licenses 1

Addresses

Other names 1

• Larkwood Living Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1609073600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 MARINETTE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770746806",
            "telephone_number": "713-988-4871",
            "fax_number": "713-988-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 MARINETTE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770746806",
            "telephone_number": "713-988-4871",
            "fax_number": "713-988-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN DICKERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER - MANAGER",
        "authorized_official_telephone_number": "713-988-4871",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larkwood Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maridian Clinical Care
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• Nathalie Antoinette Marie, MD
• Marigold Cottagepch@Waller LLC
• Marilux Incorporated
• Arun Muthukumar Marimuthu Kala, MD
• David Marin Costa, MD
• Maria Patricia Marin Tobon
• Emily Marin, PT, DPT
• Rudolph M Marin Jr., MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.