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Organization
HOLISTIC HOME CARE NURSING, INC.
Active
Organization
HOLISTIC HOME CARE NURSING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEWELLEAN MANGAROO RN (ADMINISTRATOR)
(713) 956-9841
Entity
Organization
Contact information
Practice address
5005 W 34TH ST STE 104B, HOUSTON, TX 77092-6741
(713) 956-9841
(713) 956-9843
Mailing address
5005 W 34TH ST STE 104B, HOUSTON, TX 77092-6741
(713) 956-9841
(713) 956-9843
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000126600
—
TX
05
—
000959500
—
TX
05
—
001004337
—
TX
05
—
10021505
—
TX
Enumeration date
08/13/2007
Last updated
12/12/2012
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