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NPI Code Detail

MEDICARE: WISDOM MUOFHE

MEDICARE: WISDOM MUOFHE
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
1253Z00000XIn Home Supportive Care Agency017927TX

General Provider Information

NPI Number : 1831630425
Entity Type Code : Organization
Provider Name (Legal Business Name) : WISDOM MUOFHE
Provider Business Mailing Address
First Line : 1950 ELDRIDGE PKWY
Second Line : 15208
City : HOUSTON
State : TX
Zip : 77077-3448
Country : US
Telephone Number : 832-807-6384
Fax Number :
Provider Business Practice Location Address
First Line : 1950 ELDRIDGE PKWY
Second Line : 15208
City : HOUSTON
State : TX
Zip : 77077-3448
Country : US
Telephone Number : 832-807-6384
Fax Number :
Authorized Official
Title or Position : OWNER
Name : WISDOM MUOFHE
Credential :
Telephone Number : 832-807-6384
Provider Enumeration Date : 03/15/2017
Last Update Date : 03/15/2017

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Directions to “WISDOM MUOFHE ” Practice Location

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