Organization
AMGREF HEALTH SYSTEMS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVIS NOMSO EGWIM (ADMINISTRATOR)
(346) 583-9143
Entity
Organization
Contact information
Practice address
4418 BLUEBONNET DRIVE, SUITE 302, STAFFORD, TX 77477
(346) 583-9143
(281) 944-5682
Mailing address
4418 BLUEBONNET DRIVE, SUITE 302, STAFFORD, TX 77477
(346) 754-2142
(281) 944-5682
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
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370578201
—
TX
Enumeration date
05/05/2016
Last updated
07/22/2024
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