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NPI Code Detail

MEDICARE: PANACEA HOME HEALTHCARE SYSTEM, INC.

MEDICARE: PANACEA HOME HEALTHCARE SYSTEM, 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1336432400
Entity Type Code : Organization
Provider Name (Legal Business Name) : PANACEA HOME HEALTHCARE SYSTEM, INC.
Provider Business Mailing Address
First Line : 1613 BLALOCK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77080-7320
Country : US
Telephone Number : 832-754-2024
Fax Number :
Provider Business Practice Location Address
First Line : 1613 BLALOCK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77080-7320
Country : US
Telephone Number : 832-754-2024
Fax Number :
Authorized Official
Title or Position : TREASURER/ADMINISTRATOR
Name : MRS. FIROUZEH M BAHRAMI
Credential :
Telephone Number : 832-754-2024
Provider Enumeration Date : 05/24/2011
Last Update Date : 08/16/2011

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Directions to “PANACEA HOME HEALTHCARE SYSTEM, INC. ” Practice Location

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