Organization
FRESH BEGINNINGS SERVICES, LLC
Active
Other names
Fresh Beginnings Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WYNNETTE WILLIAMS (CEO)
(713) 530-4192
Entity
Organization
Contact information
Practice address
6104 SOUTH LOOP EAST, HOUSTON, TX 77087-7708
(713) 530-4192
Mailing address
PO BOX 40292, HOUSTON, TX 77240-0292
(713) 530-4192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
OTHER
TX
Enumeration date
05/07/2020
Last updated
05/07/2020
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