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General NPI Number Information
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NPI Number | 1619542131
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Entity Type | Organization
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Legal Business Name | MOTHERHOOD HOME CARE LLC
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 10511 BUCKEYE ST
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City | BAYTOWN
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State | TX
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Zip | 77523-0815
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Country | US
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Telephone | 281-851-4608
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1914
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City | BAYTOWN
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State | TX
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Zip | 77522-1914
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Country | US
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Telephone | 281-851-4608
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHELIA D MUNROSE
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Credential | RN
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Telephone | 281-851-4608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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