Organization
MEDIEQUIP PATIENT & HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA Y JOHNSON (LDE/OWNER)
(713) 344-0855
Entity
Organization
Contact information
Practice address
3418 HIGHWAY 6 S, B217, HOUSTON, TX 77082-4206
(713) 344-0855
Mailing address
3418 HIGHWAY 6 S, B217, HOUSTON, TX 77082-4206
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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