Provider Demographics
NPI:1780914580
Name:FLORAC HEALTHCARE SERVICES
Entity type:Organization
Organization Name:FLORAC HEALTHCARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOATENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-495-7078
Mailing Address - Street 1:8300 BISSONNET ST STE 460B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3914
Mailing Address - Country:US
Mailing Address - Phone:281-495-7078
Mailing Address - Fax:281-988-5390
Practice Address - Street 1:8300 BISSONNET ST STE 460B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3914
Practice Address - Country:US
Practice Address - Phone:281-495-7078
Practice Address - Fax:281-988-5390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-30
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012678253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care