A1 Nostalgic Care INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Richmond, TX. Organization (NPI-2).
NPI number1588423263
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1588423263
- Entity type
- Organization (NPI-2)
- Legal business name
- A1 Nostalgic Care INC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2024
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 376G00000X | Nursing Home Administrator | – | – |
Practice location
10426 Lyra Glen LnRichmond, TX 77406-3271
Phone 832-418-8269
Mailing address
10426 Lyra Glen LnRichmond, TX 77406-3271
Phone 832-418-8269
Authorized official
Lilian T Obayemi
Director
8324188269
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