Harborage Care MD
Custodial Care Facility in Humble, TX. Organization (NPI-2).
NPI number1932784485
StatusActive
Last updated in NPPESMar 16, 2021
Details
- NPI
- 1932784485
- Entity type
- Organization (NPI-2)
- Legal business name
- Harborage Care MD
- Organization subpart
- No
- Enumeration date
- Mar 16, 2021
- Certification date
- Mar 16, 2021
- Last updated
- Mar 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311Z00000X | Custodial Care Facility | – | – | Yes |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – |
Practice location
19311 Boulder Bay LnHumble, TX 77346-3731
Phone 832-373-7334
Mailing address
19311 Boulder Bay LnHumble, TX 77346-3731
Phone 832-373-7334
Authorized official
Devorah Ann Loston
Owner
8323737334
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