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Organization
EDICARE PROFESSIONAL HEALTHCARE SERVICES, INC
Active
Organization
EDICARE PROFESSIONAL HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDOSASERE LEE OMORUYI BSCE (ALT ADMINISTRATOR)
(281) 568-4573
Entity
Organization
Contact information
Practice address
2000 S DAIRY ASHFORD ST, SUITE #305, HOUSTON, TX 77077-5700
(281) 568-4573
(281) 879-8411
Mailing address
2000 S DAIRY ASHFORD ST, SUITE #305, HOUSTON, TX 77077-5700
(281) 568-4573
(281) 879-8411
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010365
TX
Other
Enumeration date
12/19/2006
Last updated
02/01/2012
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