Organization
CELESTIAL GLOW MED SPA LLC
Active
Other names
Vital Hearts Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH MOTUNRAYO AWOLOWO (PRESIDENT)
(917) 721-9962
Entity
Organization
Contact information
Practice address
5525 LOUETTA RD STE A, SPRING, TX 77379-7881
(281) 907-1093
Mailing address
5525 LOUETTA RD STE A, SPRING, TX 77379-7881
(281) 907-1093
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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