Organization
TRI CARE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH JASON HEBERT (ADMINISTRATOR)
(713) 674-5616
Entity
Organization
Contact information
Practice address
11625 W HARDY RD, HOUSTON, TX 77076-1900
(713) 674-5616
(713) 674-5620
Mailing address
11625 W HARDY RD, HOUSTON, TX 77076-1900
(713) 674-5616
(713) 674-5620
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/22/2019
Last updated
08/09/2019
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