Healthcare Provider Details
I. General information
NPI: 1649415670
Provider Name (Legal Business Name): GARDEN CITY HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2008
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8202 ASH GARDEN CT
HOUSTON TX
77083-6518
US
IV. Provider business mailing address
8202 ASH GARDEN CT
HOUSTON TX
77083-6518
US
V. Phone/Fax
- Phone: 832-594-0983
- Fax: 281-242-2265
- Phone: 832-594-0983
- Fax: 281-242-2265
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MONICA
CHIOMA
IGWE
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 832-594-0983