person
Ms. Johnnetta Matrice Nichols
Assisted Living Facility in Houston, Texas
NPI 1861636896

Johnnetta Matrice Nichols is an Assisted Living Facility based in Houston, TX. Johnnetta Matrice Nichols practices in Houston, TX. The NPI Number for Johnnetta Matrice Nichols is 1861636896 and holds a License No. (Texas).

The current practice location address for Johnnetta Matrice Nichols is 8209 N. Main St., Houston, TX and can be reached out via phone at 713-692-1414 and via fax at 713-692-2157.

Location: 8209 N. Main St., Houston, TX, 77022
person
Provider Profile Details
NPI Number
1861636896
Provider Name
Johnnetta Matrice Nichols
Credential
Provider Entity Type
Individual
Gender
Female
Address
8209 N. Main St., Houston, TX, 77022
Phone Number
713-692-1414
Fax Number
713-692-2157
Provider Enumeration Date
04/21/2009
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F500193420 05 TX
1861636896 05 TX
205828380 05 TX
institution
Provider Business Practice Location Address Details
Address
8209 N. Main St.
City
State
Zip
77022
Phone Number
713-692-1414
Fax Number
713-692-2157
person
Provider Business Mailing Address Details
Address
8209 N. Main St.
City
State
Zip
77022
Phone Number
713-692-1414
Fax Number
713-692-2157
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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