Organization
A' DIAMOND LIVING CENTER
Active
Other names
A' DIAMOND LIVING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IFY AGATHA UZOH (OWNER)
(281) 630-5480
Entity
Organization
Contact information
Practice address
6478 CAMBRIDGE GLEN LN, HOUSTON, TX 77035-3903
(281) 630-5480
Mailing address
6478 CAMBRIDGE GLEN LN, HOUSTON, TX 77035-3903
(281) 630-5480
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
45-4885422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-4885422
—
TX
Enumeration date
03/26/2012
Last updated
03/26/2012
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