Healthcare Provider Details

I. General information

NPI: 1639465875
Provider Name (Legal Business Name): H AND H HOME STYLE LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 06/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22019 ROBINS RD
HOCKLEY TX
77447-8792
US

IV. Provider business mailing address

4282 ABRAM DR
CONLEY GA
30288-1741
US

V. Phone/Fax

Practice location:
  • Phone: 404-226-8357
  • Fax:
Mailing address:
  • Phone: 404-226-8357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. LORAINE MAE HARRY
Title or Position: OWNER
Credential: R.N.
Phone: 404-226-8357