Organization
A1 NOSTALGIC CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIAN T OBAYEMI (DIRECTOR)
(832) 418-8269
Entity
Organization
Contact information
Practice address
10426 LYRA GLEN LN, RICHMOND, TX 77406-3271
(832) 418-8269
Mailing address
10426 LYRA GLEN LN, RICHMOND, TX 77406-3271
(832) 418-8269
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
03/15/2024
Last updated
04/09/2024
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