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Organization
CLIFT HOME CARE, LLC
Active
Organization
CLIFT HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IJANG IRENE FOMNUKONG PHD (ADMINISTRATOR)
(832) 295-3444
Entity
Organization
Contact information
Practice address
6302 VISTA CAMINO DR, HOUSTON, TX 77083-1407
(832) 295-3444
(832) 288-2476
Mailing address
6302 VISTA CAMINO DR, HOUSTON, TX 77083-1407
(832) 295-3444
(832) 288-2476
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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