Provider Demographics
NPI:1750407847
Name:ADONAI'S HEALTHCARE CENTER
Entity type:Organization
Organization Name:ADONAI'S HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:EBIOGWU
Authorized Official - Last Name:ANAGHRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-289-8085
Mailing Address - Street 1:17015 COSTERO DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-3658
Mailing Address - Country:US
Mailing Address - Phone:832-289-8085
Mailing Address - Fax:281-561-7081
Practice Address - Street 1:17015 COSTERO DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-3658
Practice Address - Country:US
Practice Address - Phone:832-289-8085
Practice Address - Fax:281-561-7081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities