Organization
AIDA HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER OBIAGELI JOHNSON (PROGRAM MANAGER)
(281) 948-5446
Entity
Organization
Contact information
Practice address
8700 COMMERCE PARK DR, HOUSTON, TX 77036-7497
(281) 948-5446
Mailing address
8700 COMMERCE PARK DR, HOUSTON, TX 77036-7497
(281) 948-5446
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
11/07/2017
Last updated
11/07/2017
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