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NPI Code Detail

MEDICARE: MRS. EUNICE D HOLMES HOME HEALTH

MEDICARE:  MRS. EUNICE D HOLMES  HOME HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1053677567
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EUNICE D HOLMES HOME HEALTH
Provider Business Mailing Address
First Line : 10700 FONDREN RD APT 1003
Second Line :
City : HOUSTON
State : TX
Zip : 77096-5697
Country : US
Telephone Number : 832-881-9568
Fax Number :
Provider Business Practice Location Address
First Line : 10700 FONDREN RD APT 1003
Second Line :
City : HOUSTON
State : TX
Zip : 77096-5697
Country : US
Telephone Number : 832-881-9568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2012
Last Update Date : 04/09/2012

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Directions to “ MRS. EUNICE D HOLMES HOME HEALTH” Practice Location

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