Organization
REBUILDING LIFE AND EMBRACING DEATH LLC DBA ANNETTA'S HOME AWAY FROM H
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONDRA BROWN MA, LMSW, CDP, CAGCS (EXECUTIVE DIRECTOR)
(870) 592-0687
Entity
Organization
Contact information
Practice address
927 N GREER BLVD, PITTSBURG, TX 75686-1181
(870) 592-0687
Mailing address
PO BOX 298, MOUNT VERNON, TX 75457-0298
(870) 592-0687
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
08/04/2021
Last updated
08/25/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up