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NPI Code Detail

MEDICARE: EVEREST REAL ESTATE INVESTMENTS, LLP

MEDICARE: EVEREST REAL ESTATE INVESTMENTS, LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1225416480
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVEREST REAL ESTATE INVESTMENTS, LLP
Provider Business Mailing Address
First Line : 19211 MCKAY DR
Second Line :
City : HUMBLE
State : TX
Zip : 77338-5502
Country : US
Telephone Number : 281-883-5500
Fax Number : 281-883-5501
Provider Business Practice Location Address
First Line : 19211 MCKAY DR
Second Line :
City : HUMBLE
State : TX
Zip : 77338-5502
Country : US
Telephone Number : 713-660-0555
Fax Number : 281-883-5501
Authorized Official
Title or Position : C.E.O.
Name : KENYA FAIR-EGBONWONU
Credential :
Telephone Number : 281-883-5500
Provider Enumeration Date : 05/08/2015
Last Update Date : 08/20/2019

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Directions to “EVEREST REAL ESTATE INVESTMENTS, LLP ” Practice Location

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