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Organization

EVENING STAR HEALTHCARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EMMANUEL MBIDOAKA B.SC, LVN (ADMINISTRATOR)
(281) 344-1411
Entity
Organization

Contact information

Practice address
6111 EVENING SUN CT, RICHMOND, TX 77469-9873
(281) 344-1411
(281) 344-1611
Mailing address
6111 EVENING SUN CT, RICHMOND, TX 77469-9873
(281) 344-1411
(281) 344-1611

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009549
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009549
HCSSA LICENSE
TX
Enumeration date
05/20/2006
Last updated
06/13/2024
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