Organization
CROWDER'S INDEPENDENT LIVING #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALISHA CROWDER (OWNER)
(985) 687-8775
Entity
Organization
Contact information
Practice address
7120 GOFORTH ST, HOUSTON, TX 77021-5829
(346) 240-1640
Mailing address
7120 GOFORTH ST, HOUSTON, TX 77021-5829
(346) 240-1640
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891125423
—
OK
Enumeration date
03/19/2018
Last updated
03/19/2018
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