Organization
HIS SHADOW SERVICES LLC
Active
Other names
HIS Shadow Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EZE OWUNNA (ADMINISTRATION)
(432) 305-8090
Entity
Organization
Contact information
Practice address
3007 ROSE TRACE DR, SPRING, TX 77386-3895
(432) 305-8090
Mailing address
3007 ROSE TRACE DR, SPRING, TX 77386-3895
(432) 305-8090
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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