Organization
ST NICHOLAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NWABUOGO ANAGBOGU (DIRECTOR)
(713) 991-5322
Entity
Organization
Contact information
Practice address
9222 CARMALEE ST, HOUSTON, TX 77075-4909
(713) 991-5322
Mailing address
9222 CARMALEE ST, HOUSTON, TX 77075-4909
(713) 991-5322
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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