Organization
BLUECROSS CARE HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADIMORA EZE (CEO)
(832) 368-7194
Entity
Organization
Contact information
Practice address
1906 BAUMEADOW LN, SUGAR LAND, TX 77498-2290
(832) 368-7194
Mailing address
1906 BAUMEADOW LN, SUGAR LAND, TX 77498-2290
(832) 368-7194
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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