Provider Demographics
NPI:1679820369
Name:WONDER CARE CENTER LLC
Entity Type:Organization
Organization Name:WONDER CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCIUS
Authorized Official - Middle Name:U
Authorized Official - Last Name:AKUCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-240-7037
Mailing Address - Street 1:5239 FOUNTAINBROOK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4835
Mailing Address - Country:US
Mailing Address - Phone:713-240-7037
Mailing Address - Fax:713-777-1945
Practice Address - Street 1:5239 FOUNTAINBROOK LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4835
Practice Address - Country:US
Practice Address - Phone:713-240-7037
Practice Address - Fax:713-777-1945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health