Organization
PAVILION HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIDIEBERE J AGBARA (ADMINISTRATIVE OWNER)
(832) 495-1315
Entity
Organization
Contact information
Practice address
6002 SOLEDAD PINE CIR, RICHMOND, TX 77407-1045
(832) 495-1315
Mailing address
6002 SOLEDAD PINE CIR, RICHMOND, TX 77407-1045
(832) 455-3394
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/27/2023
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