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Organization
PAHHS, INC
Active
Organization
PAHHS, INC
Active
Other names
dba Port Arthur Home Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH L CONSTANT EDD, MSN, CHCE, FHHC (OWNER/ADMINISTRATOR)
(361) 578-0762
Entity
Organization
Contact information
Practice address
1725-A WEST CARDINAL DRIVE, BEAUMONT, TX 77705-6415
(409) 983-5668
(409) 983-5604
Mailing address
3202 SAM HOUSTON DRIVE, VICTORIA, TX 77904-2240
(361) 578-0762
(361) 578-1567
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
004136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004136
STATE LICENSE NUMBER
TX
05
—
012113901
—
TX
Enumeration date
06/29/2005
Last updated
05/12/2011
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