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Organization

WIICARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CONNIE DAVIS REGISTERED NURSE (DIRECTOR)
(832) 363-7301
Entity
Organization

Contact information

Practice address
8139 KENTON ST, HOUSTON, TX 77028-4631
(832) 203-5776
Mailing address
11722 OAK LAKE PARK DR, SUGAR LAND, TX 77498-7027
(832) 363-7301
(832) 201-0672

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
02/16/2017
Last updated
02/16/2017
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