Organization
BABYBOOMERS HOMECARE LLC
Active
Other names
Lone Star Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD A SUBEDAR (ADMINISTRATOR)
(713) 876-3872
Entity
Organization
Contact information
Practice address
630 COLONY LAKE ESTATES DR APT 428, STAFFORD, TX 77477-4667
(713) 876-3872
Mailing address
1711 JAMES BOWIE DR APT 504, BAYTOWN, TX 77520-3309
(713) 876-3872
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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