Organization
AVID HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA NAKUYA (C.E.O.)
(617) 990-6737
Entity
Organization
Contact information
Practice address
8626 KINGSTON HOLLOW CT, RICHMOND, TX 77407-1205
(617) 990-6737
Mailing address
8626 KINGSTON HOLLOW CT, RICHMOND, TX 77407-1205
(617) 990-6737
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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