Organization
BREENA MAKEDA - KOBY
Active
Other names
Beechwood Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BREENA I MAKEDA-KOBY RN (DIRECTOR)
(713) 974-6666
Entity
Organization
Contact information
Practice address
6105 BEVERLYHILL ST, STE 102, HOUSTON, TX 77057-6715
(713) 974-6666
(713) 974-6667
Mailing address
6105 BEVERLYHILL ST, STE 102, HOUSTON, TX 77057-6715
(713) 974-6666
(713) 974-6667
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010801
LICENSE #
TX
01
—
011830
CMS
TX
Enumeration date
11/04/2006
Last updated
05/17/2011
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