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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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