Organization
ANN&AGNES LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMMETRICE HUMPHREY (PROGRAM MANAGER)
(832) 855-8443
Entity
Organization
Contact information
Practice address
1215 AVENUE E, BACLIFF, TX 77518-2520
(832) 855-8443
(281) 549-4574
Mailing address
1215 AVENUE E, BACLIFF, TX 77518-2520
(832) 855-8443
(281) 549-4574
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/13/2019
Last updated
02/09/2026
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