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Organization
MEDPSYCH HOME HEALTHCARE CORPORATION
Active
Organization
MEDPSYCH HOME HEALTHCARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTHER M JACKSON (CEO)
(281) 693-6700
Entity
Organization
Contact information
Practice address
11999 KATY FREEWAY SUITE 225, HOUSTON, TX 77079
(281) 693-6700
(281) 693-6784
Mailing address
24702 PLYMPTON DR, KATY, TX 77494-6131
(281) 693-6700
(281) 693-6784
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
011330
TX
251E00000X
Home Health Agency
Primary
011330
TX
283Q00000X
Psychiatric Hospital
—
—
3747A0650X
Attendant Care Provider
011330
TX
374U00000X
Home Health Aide
011330
TX
376G00000X
Nursing Home Administrator
011330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011330
DADS
TX
05
—
194394601
—
TX
Enumeration date
08/21/2007
Last updated
10/22/2010
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