Healthcare Provider Details
I. General information
NPI: 1255664413
Provider Name (Legal Business Name): ECC HEALTHCARE STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2009
Last Update Date: 09/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9894 BISSONNET ST STE 100F
HOUSTON TX
77036-8239
US
IV. Provider business mailing address
9894 BISSONNET ST STE 100F
HOUSTON TX
77036-8239
US
V. Phone/Fax
- Phone: 713-771-7100
- Fax: 713-771-7150
- Phone: 713-771-7100
- Fax: 713-771-7150
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: MR.
ZAVIER
BOUTTE
Title or Position: DIRECTOR OF ADMINISTRATION
Credential:
Phone: 713-771-7100