Organization
ROAD TO RICKS CARE LLC
Active
Organization
ROAD TO RICKS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEENA K RICKS (ADMINISTRATOR/CEO)
(908) 627-2901
Entity
Organization
Contact information
Practice address
2300 OLD SPANISH TRL APT 1136, HOUSTON, TX 77054-2170
(908) 627-2901
Mailing address
2300 OLD SPANISH TRL APT 1136, HOUSTON, TX 77054-2170
(908) 627-2901
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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