Organization
OCEAN 4 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WONEDWOSSEN GOSHU (DIRECTOR)
(832) 524-4975
Entity
Organization
Contact information
Practice address
7741 TANGLEWILDE ST, HOUSTON, TX 77036-5565
(832) 524-4975
Mailing address
7741 TANGLEWILDE ST, HOUSTON, TX 77036-5565
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
10/20/2021
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