MEDICARE: VOLKS CARE 2000 INC

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
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1376947861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLKS CARE 2000 INC

Provider Business Mailing Address
First Line	:	9888 BISSONNET ST STE 410
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8297
Country	:	US
Telephone Number	:	832-794-0462
Fax Number	:	832-449-3273

Provider Business Practice Location Address
First Line	:	9888 BISSONNET ST STE 410
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8297
Country	:	US
Telephone Number	:	832-794-0462
Fax Number	:	832-449-3273

Authorized Official
Title or Position	:	MANAGER
Name	:	CORNELIUS NWOKENAKA
Credential	:
Telephone Number	:	832-794-0462

Provider Enumeration Date	:	10/13/2014
Last Update Date	:	10/13/2014

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Directions to “VOLKS CARE 2000 INC ” Practice Location

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