Organization
HARVEST HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY CLYDE SHAW (PRESIDENT)
(281) 703-7711
Entity
Organization
Contact information
Practice address
520 BAKER DR, TOMBALL, TX 77375-4121
(281) 357-5775
Mailing address
520 BAKER DR, TOMBALL, TX 77375-4121
(281) 357-5775
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0392
TX
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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