Organization
ABOL CARE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILIKISU ADEBOLO ANDREWS (PROGRAM MANAGER)
(832) 757-9488
Entity
Organization
Contact information
Practice address
17730 SCARLETT FALLS LN, RICHMOND, TX 77407-2155
(832) 757-9488
Mailing address
17730 SCARLETT FALL LN, RICHMOND, TX 77407
(832) 757-9488
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
0000000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
HCS
TX
05
—
00000000
—
TX
Enumeration date
03/29/2012
Last updated
03/29/2012
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