Organization
ABIDE CARE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MODUPE ADETUTU OKUNSANYA (PRESIDENT)
(832) 287-7717
Entity
Organization
Contact information
Practice address
15770 BELLAIRE BLVD APT 2612, HOUSTON, TX 77083-3012
(832) 287-7717
Mailing address
15770 BELLAIRE BLVD APT 2612, HOUSTON, TX 77083-3012
(832) 287-7717
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
TX
Enumeration date
12/17/2012
Last updated
12/20/2012
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