Healthcare Provider Details

I. General information

NPI: 1205616851
Provider Name (Legal Business Name): CARELANCE GROUP HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 BERKELEY KNOLL CIR APT 3319
RICHMOND TX
77407-3339
US

IV. Provider business mailing address

5600 BERKELEY KNOLL CIR APT 3319
RICHMOND TX
77407-3339
US

V. Phone/Fax

Practice location:
  • Phone: 832-400-2329
  • Fax:
Mailing address:
  • Phone: 832-400-2329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. ADAURE ANOZIE
Title or Position: DIRECTOR
Credential:
Phone: 832-400-2329