Organization
PROACTIVE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINIFRED I EDOSAH (MANAGER)
(281) 990-5770
Entity
Organization
Contact information
Practice address
16310 GINGER RUN WAY, SUGAR LAND, TX 77498-7107
(281) 990-5770
Mailing address
16310 GINGER RUN WAY, SUGAR LAND, TX 77498-7107
(281) 990-5770
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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