Avencare Provider Services LLC

NPI #1104789775 in Richmond, Texas

Provider Information

NPI Number
1104789775
Entity Type
Organization
Organization Name
Avencare Provider Services LLC
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Dec 9, 2025
Last Updated
Dec 9, 2025

Practice Location

Address
19002 DERRINGTON MANOR LN
State
Texas
ZIP Code
77407-3586
Phone
(832) 219-5032

Authorized Official

Name
KARIMAT OMOWUNMI ABDULWAHAB
Title
CEO/OWNER
Phone
(832) 219-5032

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