Organization
HOUSTONIDENCE OPCO, LLC
Active
Other names
Houston Transitional Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
8550 JASON STREET, HOUSTON, TX 77074-2907
(346) 231-7500
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
08/21/2024
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