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Organization
PRIVATE HOME HEALTHCARE,INC.
Active
Organization
PRIVATE HOME HEALTHCARE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA RENEE JACKSON (CEO)
(281) 253-4136
Entity
Organization
Contact information
Practice address
9702 N SAM HOUSTON PKWY E APT 338, HUMBLE, TX 77396-4533
(281) 253-4136
(281) 458-0153
Mailing address
PO BOX 6963, HOUSTON, TX 77265-6963
(281) 253-4136
(281) 458-0153
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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