Individual
LORETTA THADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3719 ACACIA WOOD WAY, KATY, TX 77449-7681
(346) 629-9257
Mailing address
3719 ACACIA WOOD WAY, KATY, TX 77449-7681
(346) 629-9257
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
159263005
TX
251J00000X
Nursing Care Agency
—
TX
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
TX
385H00000X
Respite Care
—
TX
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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