Organization
EXQUISITE QUEENS IN-HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ANDERSON (ADMINISTRATOR)
(281) 653-2468
Entity
Organization
Contact information
Practice address
14211 EVENTIDE DR, CYPRESS, TX 77429-3907
(281) 653-2468
(832) 213-2412
Mailing address
14211 EVENTIDE DR, CYPRESS, TX 77429-3907
(281) 653-2468
(832) 213-2412
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001031899
—
TX
01
—
019216
HHSC
TX
01
—
1255906020
NPI
TX
01
—
3982175-01
TEXAS PROVIDER IDENTIFIER
TX
Enumeration date
05/24/2021
Last updated
01/17/2024
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