Organization
VON ELIJAH HOME HEALTH CARE
Active
Other names
Von Elijah, Von Elijah Home Health Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEEON RUDDER (PRESIDENT)
(832) 212-4005
Entity
Organization
Contact information
Practice address
9718 CANE CREEK DR, HOUSTON, TX 77070-2002
(832) 212-4005
Mailing address
9718 CANE CREEK DR, HOUSTON, TX 77070-2002
(832) 212-4005
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
PURSUING DADS LICENSE
TX
Enumeration date
11/24/2020
Last updated
11/24/2020
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