Healthcare Provider Details
I. General information
NPI: 1578835245
Provider Name (Legal Business Name): E & N HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/27/2012
Last Update Date: 01/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9750 RAVENSWORTH DR
HOUSTON TX
77031-3130
US
IV. Provider business mailing address
9750 RAVENSWORTH DR
HOUSTON TX
77031-3130
US
V. Phone/Fax
- Phone: 281-673-8906
- Fax: 281-530-2122
- Phone: 281-673-8906
- Fax: 281-530-2122
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NANCY
J
DAVIS
Title or Position: OWNER/PROGRAM MANAGER
Credential: RN
Phone: 281-673-8906