Individual
SHYROSE RAHEMTULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP, ALF
Contact information
Practice address
21050 NORMANDY FOREST DR, SPRING, TX 77388-3281
(281) 924-7173
(844) 201-0621
Mailing address
2627 MEADOWLARK HILLS CT, SPRING, TX 77389-1598
(908) 230-5104
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
102984
TX
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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