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Organization
SR GOLDEN HEART PROVIDER CARE AND TRANSPORTATION SERVICES, LLC
Active
Organization
SR GOLDEN HEART PROVIDER CARE AND TRANSPORTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEVAO FAYIA SAFFA (PROGRAM MANAGER)
(713) 784-2480
Entity
Organization
Contact information
Practice address
7100 REGENCY SQUARE BLVD, SUITE 203-5, HOUSTON, TX 77036-3202
(713) 784-2480
(713) 784-2860
Mailing address
7100 REGENCY SQUARE BLVD, SUITE 203-5, HOUSTON, TX 77036-3202
(713) 784-2480
(713) 784-2860
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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