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Organization

HOUSTON EXTRAORDINARY HOME CARE II

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICOLE LOUISE CARTER M.A.S (MANAGER/OWNER)
(713) 298-5727
Entity
Organization

Contact information

Practice address
9616 BECKLEY ST, HOUSTON, TX 77088-4641
(713) 298-5727
(281) 405-9764
Mailing address
9616 BECKLEY ST., HOUSTON, TX 77088-4641
(713) 298-5727
(281) 405-9764

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
126008
TX

Other

Enumeration date
07/01/2009
Last updated
07/01/2009
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