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Organization
ASHLYNN HOME CARE
Active
Organization
ASHLYNN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONTAVIEN PROVOST (CEO)
(832) 739-5631
Entity
Organization
Contact information
Practice address
3050 POST OAK BLVD, HOUSTON, TX 77056-6527
(832) 739-5631
Mailing address
10770 BARELY LN APT 117, HOUSTON, TX 77070-5963
(832) 739-5631
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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