Organization
CRESCENT BOULEVARD CARE
Active
Other names
CRESCENT BOELEVARD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAHAB OLAIYA ALABI (FOUNDER)
(971) 348-1411
Entity
Organization
Contact information
Practice address
18319 CHANCEWELL CT # 9, RICHMOND, TX 77407-2907
(971) 348-1411
Mailing address
18319 CHANCEWELL CT # 9, RICHMOND, TX 77407-2907
(971) 348-1411
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/21/2024
Last updated
10/24/2024
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