21stcentury Homecare Services
Preferred Provider Organization in Spring, TX. Organization (NPI-2).
NPI number1861811218
StatusActive
Last updated in NPPESApr 14, 2014
Details
- NPI
- 1861811218
- Entity type
- Organization (NPI-2)
- Legal business name
- 21stcentury Homecare Services
- Organization subpart
- No
- Enumeration date
- Apr 14, 2014
- Last updated
- Apr 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | – | – | Yes |
Practice location
6710 Lindale Manor CtSpring, TX 77379-8931
Phone 832-656-4391
Mailing address
440 Benmar Dr3053
Houston, TX 77060-3165
Phone 832-326-8291
Authorized official
Kenneth Ray Johnson
Ceo
8326564391
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