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NPI Code Detail

MEDICARE: AMCARE RESIDENTIAL LIVING INC

MEDICARE: AMCARE RESIDENTIAL LIVING INC
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1740481597
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMCARE RESIDENTIAL LIVING INC
Provider Business Mailing Address
First Line : 11500 NORTHWEST FWY
Second Line : SUITE 580
City : HOUSTON
State : TX
Zip : 77092-6530
Country : US
Telephone Number : 713-686-9993
Fax Number : 713-686-9994
Provider Business Practice Location Address
First Line : 11500 NORTHWEST FWY
Second Line : SUITE 580
City : HOUSTON
State : TX
Zip : 77092-6530
Country : US
Telephone Number : 713-686-9993
Fax Number : 713-686-9994
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. SANDRA JEFFERSON-BORTEN
Credential :
Telephone Number : 713-686-9993
Provider Enumeration Date : 05/30/2007
Last Update Date : 08/22/2020

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Directions to “AMCARE RESIDENTIAL LIVING INC ” Practice Location

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