Organization
MEMORIAL HERMANN HOME-BASED SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS MIGLICCO (VP TAX)
(225) 292-2031
Entity
Organization
Contact information
Practice address
18951 N MEMORIAL DR, HUMBLE, TX 77338-4217
(225) 292-2031
Mailing address
3854 AMERICAN WAY STE A, BATON ROUGE, LA 70816-4897
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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