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Organization

COUCC MULTINATIVE ASSISTANT LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA OKEREKE (ADMINISTRATOR/DIRECTOR)
(713) 377-1924
Entity
Organization

Contact information

Practice address
4207 FIELDVIEW CT, FRESNO, TX 77545-7557
(713) 377-1924
Mailing address
4207 FIELDVIEW CT, FRESNO, TX 77545-7557
(713) 377-1924

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
TX

Other

Enumeration date
06/06/2016
Last updated
07/21/2022
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