Healthcare Provider Details

I. General information

NPI: 1649451519
Provider Name (Legal Business Name): PERSONAL HEALTHCARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 11/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6127 SUNNYCREST ST
HOUSTON TX
77087-2025
US

IV. Provider business mailing address

6127 SUNNYCREST ST
HOUSTON TX
77087-2025
US

V. Phone/Fax

Practice location:
  • Phone: 713-731-7239
  • Fax: 713-731-7239
Mailing address:
  • Phone: 713-731-7239
  • Fax: 713-731-7239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: BARBARA LEE SMITH
Title or Position: DIRECTOR
Credential:
Phone: 713-731-7239