Organization
GREAT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODOLFO VELASCO CPA (ADMINISTRATOR)
(281) 568-3532
Entity
Organization
Contact information
Practice address
12810 WESTBRANCH CT, HOUSTON, TX 77072-2134
(281) 568-3532
Mailing address
PO BOX 237, ALIEF, TX 77411-0237
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
743701
TX
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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