# INTRA HOME HEALTH CARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205211216
- **Authorized official:** MRS. JEAN M KELLEY (OWNER)
- **Authorized official phone:** (346) 571-0963

## Contact information

- **Practice address:** 10101 FONDREN RD, 255, HOUSTON, TX 77096-4564
- **Practice address phone:** (281) 899-9338
- **Practice address fax:** (281) 746-1259
- **Mailing address:** 10101 FONDREN RD, 255, HOUSTON, TX 77096-4564
- **Mailing address phone:** (346) 571-0963
- **Mailing address fax:** (346) 571-0148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 017115 | TX | Yes |

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 11/25/2015