Organization
MDTJ CAREGIVERS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IBIBA MACHARRY (ADMINISTRATOR)
(832) 628-7947
Entity
Organization
Contact information
Practice address
11707 EVESBOROUGH DR, HOUSTON, TX 77099-1907
(281) 498-7340
Mailing address
11707 EVESBOROUGH DR,, HOUSTON, TX 77099
(281) 498-7340
(281) 809-5982
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
08/15/2012
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