Healthcare Provider Details

I. General information

NPI: 1336368414
Provider Name (Legal Business Name): YVONNE D. JOBE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 12/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11207 ASHFORD PT
SUGAR LAND TX
77478-6151
US

IV. Provider business mailing address

11207 ASHFORD PT
SUGAR LAND TX
77478-6151
US

V. Phone/Fax

Practice location:
  • Phone: 281-265-2340
  • Fax: 888-771-7959
Mailing address:
  • Phone: 281-265-2340
  • Fax: 888-771-7959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number010387
License Number StateTX

VIII. Authorized Official

Name: MRS. YVONNE D JOBE
Title or Position: DIRECTOR OF NURSING
Credential: RN
Phone: 281-265-2340