Organization
EDICARE PROFESSIONAL HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDOSASERE LEE OMORUYI BSCE (ALT ADMINISTRATOR)
(281) 568-4573
Entity
Organization
Contact information
Practice address
2000 S DAIRY ASHFORD ST, SUITE #305, HOUSTON, TX 77077-5700
(281) 568-4573
(281) 879-8411
Mailing address
2000 S DAIRY ASHFORD ST, SUITE #305, HOUSTON, TX 77077-5700
(281) 568-4573
(281) 879-8411
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010365
TX
Other
Enumeration date
12/19/2006
Last updated
02/01/2012
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