Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Other names
Memorial Hermann Hermann Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LARAWAY (CFO)
(713) 242-2707
Entity
Organization
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-6614
(713) 338-4158
Mailing address
PO BOX 301208, DALLAS, TX 75303-1208
(713) 338-4127
(713) 338-4158
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137805105
—
TX
Enumeration date
05/25/2007
Last updated
06/27/2014
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