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Organization
PAVILION OF REDEMPTION HEALTHCARE SYSTEMS, INC.
Active
Organization
PAVILION OF REDEMPTION HEALTHCARE SYSTEMS, INC.
Active
Other names
P.O.R. HOME HELATHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
PETER O AWOFODU R.N. (ADMINISTRATOR & CEO)
(281) 983-3500
Entity
Organization
Contact information
Practice address
10925 BEECHNUT ST, B204-60, HOUSTON, TX 77072-4351
(281) 983-3500
(281) 983-3502
Mailing address
10925 BEECHNUT ST, B204-60, HOUSTON, TX 77072-4351
(281) 983-3500
(281) 983-3502
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE AT THIS TIME
—
Enumeration date
12/16/2010
Last updated
05/31/2011
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