Organization
RONICA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BETRAND C EZEMA EZEMA (OWNER)
(512) 579-9698
Entity
Organization
Contact information
Practice address
2800 LA FRONTERA BLVD APT 3018, 2800 LA FRONTERA BLVD # 3018, ROUND ROCK, TX 78681-7958
(512) 579-9698
(512) 294-2847
Mailing address
2800 LA FRONTERA BLVD APT 3018, 2800 LA FRONTERA BLVD # 3018, ROUND ROCK, TX 78681-7958
(512) 579-9698
(512) 294-2847
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
650576540002
TX
311ZA0620X
Adult Care Home Facility
650576540002
TX
320800000X
Mental Illness Community Based Residential Treatment Facility
650576540002
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
650576540002
TX
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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