Organization
TRACY WENDY FISHER
Active
Other names
Andrea's Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY WENDY FISHER (OWNER)
(832) 859-1543
Entity
Organization
Contact information
Practice address
11819 GRANITE MANOR LN, CYPRESS, TX 77433-6463
(832) 288-0779
Mailing address
11819 GRANITE MANOR LN, CYPRESS, TX 77433-6463
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
03/02/2023
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