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Organization
PREVAIL HOME HEALTH CARE, LLC
Active
Organization
PREVAIL HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISTMENIA ELLIS (ADMINISTRATOR)
(281) 530-8900
Entity
Organization
Contact information
Practice address
12803 WIREVINE LN, HOUSTON, TX 77072-2141
(281) 530-8900
(281) 530-1114
Mailing address
PO BOX 2801, STAFFORD, TX 77497-2801
(281) 530-8900
(281) 530-1114
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1976219
—
TX
Enumeration date
05/27/2006
Last updated
02/13/2015
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