ADVANCED LIFE WELLNESS INSTITUTE
Managed Care Organizations at Ashland St, Houston, TX

License number
Texas G7070
Category
Managed Care Organizations
Type
Health Maintenance Organization
License number
Texas F9771
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MICHELLE LUONG
Title: DIRECTOR
Phone: (713) 802-2883
Address
Address
1917 Ashland St STE 2888, Houston, TX 77008
National Provider ID: 1215273255
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Advanced Life Wellness Institute, Inc.

1917 Ashland St SUITE 2888, Houston, TX 77008

Industry:
Health/Allied Services
Registration:
2011
Phone:
(713) 802-2883 (Phone)
State ID:
0801534962
Business type:
Foreign For-Profit Corporation
Entity State:
DE
Connie Li
Agent:
Michelle Connie Li,1917 Ashland St SUITE 2888, Houston, TX 77008 (Physical)
TIN:
32046564418

ADVANCED LIFE WELLNESS INSTITUTE INC

425 W 23 St, Houston, TX 77008

Status:
Inactive
Doing business as:
Advanced Life Wellness Institute Inc
Registration:
May 8, 2011
State ID:
0801422361
Business type:
Domestic For-Profit Corporation
Directors:
Walter Wright Director, inactive,Chi C. Mao Director, inactive,Grant Hart Director, inactive
TIN:
32044206418

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