Organization
CAPRI PERSONAL CARE HOMES, CO. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY KATHYRAN HOLLEY (ADMINISTRATOR/ OWNER)
(281) 931-3061
Entity
Organization
Contact information
Practice address
15718 FAYWOOD DR, HOUSTON, TX 77060-4408
(281) 931-3061
Mailing address
15718 FAYWOOD DR, HOUSTON, TX 77060-4408
(281) 931-3061
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609078914
—
TX
Enumeration date
01/26/2012
Last updated
01/26/2012
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