Organization
EMERALD TOTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONKE ODIGIE (DIRECTOR)
(866) 832-0522
Entity
Organization
Contact information
Practice address
10101 SOUTHWEST FWY STE 370, HOUSTON, TX 77074-1140
(866) 832-0522
(281) 973-4606
Mailing address
10101 SOUTHWEST FWY STE 370, HOUSTON, TX 77074-1140
(866) 832-0522
(281) 973-4606
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/03/2017
Last updated
06/27/2024
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