Healthcare Provider Details

I. General information

NPI: 1972974921
Provider Name (Legal Business Name): SEDS HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2015
Last Update Date: 08/06/2021
Certification Date: 08/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21352 PROVINCIAL BLVD
KATY TX
77450-7580
US

IV. Provider business mailing address

2011 AUTUMN FERN DR
KATY TX
77450-6673
US

V. Phone/Fax

Practice location:
  • Phone: 713-409-2710
  • Fax: 281-829-7331
Mailing address:
  • Phone: 713-409-2710
  • Fax: 281-829-7331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: IMAOBONG NDA
Title or Position: PRESIDENT
Credential:
Phone: 713-726-6174