Organization
CHARISMATA HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YQUADEA T. WHITAKER RN (ADMINISTRATOR, SUP. NURSE)
(281) 907-6700
Entity
Organization
Contact information
Practice address
13325 HARGRAVE RD, SUITE 180, HOUSTON, TX 77070-4539
(281) 907-6700
(281) 907-0964
Mailing address
13325 HARGRAVE RD, SUITE 180, HOUSTON, TX 77070-4539
(281) 907-6700
(281) 907-0964
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212103001
—
TX
Enumeration date
06/19/2007
Last updated
07/05/2016
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