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NPI Code Detail

MEDICARE: AMIABLE HEALTHCARE LLC

MEDICARE: AMIABLE HEALTHCARE LLC
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
1163WH0200XHome Health Registered Nurse

General Provider Information

NPI Number : 1205311818
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMIABLE HEALTHCARE LLC
Provider Business Mailing Address
First Line : 5646 TIGER LILLY WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77085-3370
Country : US
Telephone Number : 832-659-1591
Fax Number :
Provider Business Practice Location Address
First Line : 5646 TIGER LILLY WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77085-3370
Country : US
Telephone Number : 832-659-1591
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : BUKAYO M AJANI
Credential :
Telephone Number : 832-420-6992
Provider Enumeration Date : 09/28/2018
Last Update Date : 09/28/2018

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Directions to “AMIABLE HEALTHCARE LLC ” Practice Location

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