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NPI Code Detail

MEDICARE: CRISEVEN HEALTH MGT CORP

MEDICARE: CRISEVEN HEALTH MGT CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency010310TX
2251E00000XHome Health Agency010310TX

General Provider Information

NPI Number : 1194942128
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRISEVEN HEALTH MGT CORP
Provider Business Mailing Address
First Line : 6105 BEVERLY HILL ST
Second Line : STE 103
City : HOUSTON
State : TX
Zip : 77057
Country : US
Telephone Number : 713-785-8858
Fax Number : 713-785-8865
Provider Business Practice Location Address
First Line : 6105 BEVERLY HILL ST
Second Line : STE 103
City : HOUSTON
State : TX
Zip : 77057
Country : US
Telephone Number : 713-785-8858
Fax Number : 713-785-8865
Authorized Official
Title or Position : ADMINISTRATOR
Name : EVELYN MOKWUAH-NWORAH
Credential : RN
Telephone Number : 713-785-8858
Provider Enumeration Date : 04/19/2007
Last Update Date : 10/24/2007

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Directions to “CRISEVEN HEALTH MGT CORP ” Practice Location

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