Organization
GOLDEN TRACE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LINDA NKECHIYEM NWABUEZE (ADMINISTRATOR)
(832) 292-9005
Entity
Organization
Contact information
Practice address
25278 LAIRD KNOLL ST, KATY, TX 77493-3254
(832) 292-9005
Mailing address
25278 LAIRD KNOLL ST, KATY, TX 77493-3254
(832) 876-3324
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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