Organization
LIDDELL FAMILY HEALTHCARE
Active
Other names
Seniors Shuttle Service
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMARA LIDDELL (MANAGER)
(832) 879-4500
Entity
Organization
Contact information
Practice address
1308 E VICTORSON ST, HOUSTON, TX 77015-6428
(832) 879-4500
Mailing address
1308 E VICTORSON ST, HOUSTON, TX 77015-6428
(832) 879-4500
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245707654
TRANSPORTATION PROGRAM PROVIDER
—
Enumeration date
08/05/2021
Last updated
08/05/2021
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