Organization
KATY LAKES HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRIET EVBUOMWAN (ADMINISTRATOR)
(832) 348-6011
Entity
Organization
Contact information
Practice address
6907 NORTHCHESTER DR, KATY, TX 77493-3850
(832) 348-6011
(832) 557-3422
Mailing address
9810 BEACON CROSSING LN, CYPRESS, TX 77433-4001
(832) 348-6011
(832) 557-3422
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
03/05/2021
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