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Organization
PROVIDENCE ASSISTED LIVING HOME, INC.
Active
Organization
PROVIDENCE ASSISTED LIVING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA IGWE (PRESIDENT)
(281) 980-2977
Entity
Organization
Contact information
Practice address
8202 ASH GARDEN CT, HOUSTON, TX 77083-6518
(281) 980-2977
(281) 242-2265
Mailing address
8202 ASH GARDEN CT, HOUSTON, TX 77083-6518
(281) 980-2977
(281) 242-2265
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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