Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEESHA BUSH (DIRECTOR OF RECRUITMENT)
(214) 462-7077
Entity
Organization
Contact information
Practice address
6851 CADDO LAKE LN, HOUSTON, TX 77083-3505
(347) 265-0067
Mailing address
6851 CADDO LAKE LN, HOUSTON, TX 77083-3505
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
834554751
NY
Other
Enumeration date
09/12/2015
Last updated
09/12/2015
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