Organization
KQ NETS
Active
Parent organization
KINSLEY QUEEN INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINSLEY QUEEN INCORPORATED
Authorized official
WALLACE HARRIS II (DIRECTOR)
(281) 683-5053
Entity
Organization
Contact information
Practice address
7981 LITTLE STREET, HOUSTON, TX 77028
(281) 683-5053
Mailing address
PO BOX 550305, HOUSTON, TX 77255-0305
(281) 683-5053
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
TX
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407157860
—
TX
Enumeration date
09/06/2017
Last updated
09/06/2017
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