Organization
ST AGNES CAREGIVERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANIEFIOK INNOCENT USORO (ADMINISTRATION)
(832) 419-1152
Entity
Organization
Contact information
Practice address
2419 CROCKETT MARTIN RD, CONROE, TX 77306-6276
(832) 419-1152
(936) 264-1927
Mailing address
PO BOX 2269, STAFFORD, TX 77497-2269
(832) 419-1152
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891961256
—
TX
Enumeration date
05/06/2008
Last updated
01/18/2022
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