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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