Organization · NPI-2

5203 Crest Ridge Drive

Nursing Care · Houston, TX

NPI number1427672047
StatusActive
Last updated in NPPESMay 29, 2020

Details

NPI
1427672047
Entity type
Organization (NPI-2)
Legal business name
5203 Crest Ridge Drive
Organization subpart
No
Enumeration date
May 29, 2020
Certification date
May 29, 2020
Last updated
May 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251J00000X Nursing Care––Yes

Other names

  • Lamie'S Angel (Doing Business As)

Practice location

10050 West Road
Houston, TX 77064

Phone 470-363-0392

Mailing address

10419 Cutting Horse Ln
Houston, TX 77064-7101

Phone 404-992-1941

Authorized official

Muzbau Adeeyo
President
4703630392

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