Organization
ADVANTAGE CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL CHINYERE (PROGRAM MANAGER)
(281) 617-6435
Entity
Organization
Contact information
Practice address
16731 BEECHNUT ST APT 1409, HOUSTON, TX 77083-6648
(281) 617-6435
Mailing address
16731 BEECHNUT ST APT 1409, HOUSTON, TX 77083-6648
(281) 617-6435
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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