Organization
A BASE FOR ANGELS
Active
Organization
A BASE FOR ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE NJUKU RN (ADMINISTRATOR)
(832) 217-7893
Entity
Organization
Contact information
Practice address
20115 TURTLE BROOK LN, RICHMOND, TX 77407-5481
(832) 217-7893
Mailing address
20115 TURTLE BROOK LN, RICHMOND, TX 77407-5481
(832) 217-7893
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10618188
TEXAS DMV
TX
01
—
841042
TEXAS BOARD OF NURSING
TX
Enumeration date
01/27/2020
Last updated
10/14/2024
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