Healthcare Provider Details
I. General information
NPI: 1831850676
Provider Name (Legal Business Name): HARBOR HOME HEALTH LP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2022
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3900 JUNIUS ST
DALLAS TX
75246-1615
US
IV. Provider business mailing address
3406 COLLEGE ST STE 200
BEAUMONT TX
77701-4612
US
V. Phone/Fax
- Phone: 469-329-3321
- Fax: 972-692-6752
- Phone: 409-730-2046
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
QAMAR
U
ARFEEN
Title or Position: CEO
Credential:
Phone: 409-813-2332