Organization
EXTRAORDINARY HOME HEALTH CARE LLC
Active
Other names
Norstrom, EXTRAORDINARY HOME HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ROATESS REEVES (MANAGING MEMBER)
(903) 503-5130
Entity
Organization
Contact information
Practice address
754 BATESWOOD DR APT 4, HOUSTON, TX 77079-5711
(903) 503-5305
(903) 765-7741
Mailing address
10505 TOWN AND COUNTRY WAY # 79254, HOUSTON, TX 77024-2214
(903) 503-5305
(903) 765-7741
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
07/20/2024
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