Organization
JOEL ELIJAH ADULT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA WILLIAMS (ADMINISTRATOR)
(832) 971-5503
Entity
Organization
Contact information
Practice address
7030 ADDICKS CLODINE RD STE 108, HOUSTON, TX 77083-2346
(832) 971-5503
Mailing address
7030 ADDICKS CLODINE RD STE 108, HOUSTON, TX 77083-2346
(832) 971-5503
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
100247
TX
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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