Organization
CHICHI LIVING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHISOM U IKE (ADMINISTRATOR)
(713) 409-0685
Entity
Organization
Contact information
Practice address
9119 S GESSNER RD STE 201, HOUSTON, TX 77074-2845
(713) 771-1550
Mailing address
9119 S GESSNER RD STE 201, HOUSTON, TX 77074-2845
(713) 771-1550
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74-2638006
—
TX
Enumeration date
12/16/2020
Last updated
12/16/2020
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