Healthcare Provider Details

I. General information

NPI: 1982970224
Provider Name (Legal Business Name): BEAUTIFUL HEALTH SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2012
Last Update Date: 03/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8307 VINY RIDGE DR
HOUSTON TX
77083-5485
US

IV. Provider business mailing address

8307 VINY RIDGE DR
HOUSTON TX
77083-5485
US

V. Phone/Fax

Practice location:
  • Phone: 713-885-7622
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ABISOLA OVIAWE
Title or Position: ADMINISTRATOR
Credential:
Phone: 713-885-7622