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Organization
PRESQUE DOMICILE, LLC
Active
Organization
PRESQUE DOMICILE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE WAYNE ALLS JR. (OWNER/ ALTERNATIVE ADMINISTRATOR)
(281) 683-9239
Entity
Organization
Contact information
Practice address
8723 DOSKOCIL DR, HOUSTON, TX 77044-1157
(281) 683-9239
Mailing address
8723 DOSKOCIL DR, HOUSTON, TX 77044-1157
(281) 683-9239
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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