MEDICARE: TAKE CARE HOME HEALTH INC

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
1	251E00000X	Home Health Agency	011161	TX

General Provider Information

NPI Number	:	1326261918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAKE CARE HOME HEALTH INC

Provider Business Mailing Address
First Line	:	11810 BERRY PLACE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3260
Country	:	US
Telephone Number	:	281-850-9524
Fax Number	:	713-988-1442

Provider Business Practice Location Address
First Line	:	11810 BERRY PLACE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3260
Country	:	US
Telephone Number	:	281-850-9524
Fax Number	:	713-988-1442

Authorized Official
Title or Position	:	OWNER ADMINISTRATOR
Name	:	MRS. EBONG OKONO ETUK
Credential	:	R.N.
Telephone Number	:	281-850-9524

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	03/25/2009

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Directions to “TAKE CARE HOME HEALTH INC ” Practice Location

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