Organization · NPI-2

1st Traditions Homecare, LLC

Case Management · Houston, TX

NPI number1053869727
StatusActive
Last updated in NPPESSep 12, 2016

Details

NPI
1053869727
Entity type
Organization (NPI-2)
Legal business name
1st Traditions Homecare, LLC
Organization subpart
No
Enumeration date
Sep 12, 2016
Last updated
Sep 12, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

9896 Bissonnet St
Suite 380
Houston, TX 77036-8104

Phone 713-416-0409

Mailing address

922 Holly Crossing Dr
Conroe, TX 77384-2500

Authorized official

Gaetan Djouffo
Ceo
7134160409

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