Individual
MR. CHUCK C OKEADU SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
SPECIAL HOME CARE LIVING CENTER, 9898 BISSONNET SUITE 585, HOUSTON, TX 77036
(713) 771-3133
(713) 771-3113
Mailing address
SPECIAL HOME CARE LIVING CENTER, 9898 BISSONNET SUITE 585, HOUSTON, TX 77036
(713) 771-3133
(713) 771-3113
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
82A
TX
171W00000X
Contractor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
82A
TX
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
82A
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111894501
—
TX
05
—
111894502
—
TX
05
—
111894503
—
TX
05
—
82A
—
TX
Enumeration date
06/12/2007
Last updated
03/11/2019
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