Provider Demographics
NPI:1932426541
Name:VIGOR HEALTHCARE SERVICES LLC.
Entity Type:Organization
Organization Name:VIGOR HEALTHCARE SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GLORY
Authorized Official - Middle Name:UZUNMA
Authorized Official - Last Name:NOSIKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-715-5899
Mailing Address - Street 1:9207 COUNTRY CREEK DR STE 201
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7711
Mailing Address - Country:US
Mailing Address - Phone:832-443-5093
Mailing Address - Fax:713-771-7278
Practice Address - Street 1:9894 BISSONNET ST STE 585
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8251
Practice Address - Country:US
Practice Address - Phone:713-715-5899
Practice Address - Fax:713-771-7278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health