Avencare Provider Services LLC
Technician, Personal Care Attendant in Richmond, TX. Organization (NPI-2).
NPI number1104789775
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1104789775
- Entity type
- Organization (NPI-2)
- Legal business name
- Avencare Provider Services LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2025
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
19002 Derrington Manor LnRichmond, TX 77407-3586
Phone 832-219-5032 · Fax 713-575-3003
Mailing address
19002 Derrington Manor LnRichmond, TX 77407-3586
Phone 832-219-5032 · Fax 713-575-3003
Authorized official
Karimat Omowunmi Abdulwahab
Ceo/Owner
8322195032
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