Organization
HOME BASED CARE AND COUNSELING PROGRAME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GODFREY KANYANKOLE MUGISHA C,M,A. (PRESIDENT)
(817) 500-3706
Entity
Organization
Contact information
Practice address
1220 AIRPORT FWY # 490, BEDFORD, TX 76022-6785
(817) 500-3706
(817) 685-7749
Mailing address
1220 AIRPORT FWY # 490, BEDFORD, TX 76022-6785
(817) 500-3706
(817) 685-7749
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1087265
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D1087265
CLIA ID NUMBER.
TX
Enumeration date
11/29/2008
Last updated
11/29/2008
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