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General NPI Number Information
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NPI Number | 1427765189
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Entity Type | Organization
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Legal Business Name | MATRIX HEALTH SERVICES LLC
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 3226 S BRIAR KNOLL DR
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City | HOUSTON
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State | TX
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Zip | 77082-3646
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Country | US
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Telephone | 832-329-1935
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Fax | 281-741-1274
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Provider Business Mailing Address
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Address Line | 3226 S BRIAR KNOLL DR
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City | HOUSTON
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State | TX
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Zip | 77082-3646
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Country | US
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Telephone | 832-329-1935
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Fax | 281-741-1274
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Authorized Official
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Title or Position | DIRECTOR
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Name | COLLISTER CHIJI EKWURUKE
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Credential |
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Telephone | 832-329-1935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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