| Asta Life Healthcare Services Llc | |
|
29536 Fulshear Lake Trce Richmond TX 77406-3312 | |
| (832) 638-1954 | |
| Not Available |
| Full Name | Asta Life Healthcare Services Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 29536 Fulshear Lake Trce, Richmond, Texas |
| Authorized Official Name and Position | Andre Abraham (PROGRAM MANAGER) |
| Authorized Official Contact | 8326381954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asta Life Healthcare Services Llc 27707 Rocky Creek Ct Fulshear TX 77441-1113 Ph: (832) 638-1954 | Asta Life Healthcare Services Llc 29536 Fulshear Lake Trce Richmond TX 77406-3312 Ph: (832) 638-1954 |
| NPI Number | 1205438116 |
|---|---|
| Provider Enumeration Date | 11/15/2020 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205438116 | NPI | - | NPPES |
| U6752006601 | Other | TX | CIGNA |
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