Individual provider · Type 1 NPI

Johnnetta Matrice Nichols

Assisted Living Facility · Houston, TX

NPI number 1861636896 Active

Practice location

8209 N. Main St.
Houston, TX 77022

Call (713) 692-1414 Map

Fax (713) 692-2157

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000XNone listed
Assisted Living Facility Primary 310400000X102737 (TX)

Assisted Living Facility: 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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About NPI 1861636896

Johnnetta Matrice Nichols's National Provider Identifier is 1861636896, issued on Apr 21, 2009. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Houston, TX. The record was last updated on Apr 26, 2024.