Organization
HANS MARTIN HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDENCIA DEBA (C.E.O.)
(346) 400-6008
Entity
Organization
Contact information
Practice address
5111 MEADOW CANYON DR, SUGAR LAND, TX 77479-8872
(346) 400-6008
Mailing address
5111 MEADOW CANYON DR, SUGAR LAND, TX 77479-8872
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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