Organization
OMNIPOTENT HOME ALWAY FROM HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIDELIA UCHENNA ODILI (DIRECTOR)
(713) 662-0800
Entity
Organization
Contact information
Practice address
2626 S LOOP W STE 418, HOUSTON, TX 77054-2648
(713) 662-0800
(713) 662-0801
Mailing address
8427 BASSETT ST, HOUSTON, TX 77051-1142
(713) 662-0800
(713) 662-0801
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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