Organization
HOME HEALTH CARE OF HUNTSVILLE, CO.
Active
Other names
Home Health Care of Huntsville, Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DESHAW (CFO)
(936) 291-8439
Entity
Organization
Contact information
Practice address
2505 LAKE RD, SUITE 2, HUNTSVILLE, TX 77340
(936) 291-8439
(936) 291-8582
Mailing address
PO BOX 6548, 2505 LAKE RD STE 2, HUNTSVILLE, TX 77342-6548
(936) 291-8439
(936) 291-8582
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
001674
TX
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000210100
HOSPICE MEDICAID
—
Enumeration date
07/14/2006
Last updated
05/21/2025
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