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Organization

IMAGINE ENTERPRISES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NORINE GILL (EXECUTIVE DIRECTOR)
(832) 439-9057
Entity
Organization

Contact information

Practice address
1402 SPRING CRESS LN, SEABROOK, TX 77586-4719
(832) 439-9057
(866) 672-6062
Mailing address
1402 SPRING CRESS LN, SEABROOK, TX 77586-4719
(832) 439-9057
(866) 672-6062

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251X00000X
Supports Brokerage Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001007318
TX HHSC CONTRACT FMSA
TX
01
001008314
TX HHSC CONTRACT FMSA
TX
01
001008315
TX HHSC CONTRACT FMSA
TX
01
001008316
TX HHSC CONTRACT FMSA
TX
01
001008317
TX HHSC CONTRACT FMSA
TX
01
001008319
TX HHSC CONTRACT FMSA
TX
01
001010735
TX HHSC CONTRACT FMSA
TX
01
001010736
TX HHSC CONTRACT FMSA
TX
01
001010737
TX HHSC CONTRACT FMSA
TX
01
001010738
TX HHSC CONTRACT FMSA
TX
01
001010739
TX HHSC CONTRACT FMSA
TX
01
001010740
TX HHSC CONTRACT FMSA
TX
01
HHS000003700005
TX HHSC CONTRACT FMSA
TX
01
HHS000003900001
TX HHSC CONTRACTS FOR FMSA
TX
Enumeration date
06/21/2021
Last updated
01/25/2024
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