Organization
SERENE WINGS OF WELLNESS CONCIERGE HEALTHCARE SERVICES LLC
Active
Other names
Serene Wings Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH BUSTOS RN (CEO/DIRECTOR OF CLINICAL SERVICES)
(346) 412-9168
Entity
Organization
Contact information
Practice address
3660 BARKER CYPRESS RD STE 230, HOUSTON, TX 77084-7532
(346) 412-9168
Mailing address
3660 BARKER CYPRESS RD STE 230, HOUSTON, TX 77084-7532
(346) 412-9168
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053811836
—
TX
Enumeration date
02/11/2025
Last updated
03/07/2025
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