Organization
BLUEBONNET LIFECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMEM EPHRAIM UDOH (ADMINISTRATOR/MANAGING MEMBER)
(832) 433-0465
Entity
Organization
Contact information
Practice address
4015 ASHLAND WOODS DR, SPRING, TX 77386-4381
(832) 433-0465
Mailing address
4015 ASHLAND WOODS DR, SPRING, TX 77386-4381
(832) 433-0465
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/25/2021
Last updated
08/17/2022
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