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General NPI Number Information
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NPI Number | 1689695843
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Entity Type | Organization
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Legal Business Name | MEDSOL HOME HEALTHCARE AND CASE MANAGEMENT, LLC.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12110 SCOTTSDALE DR
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City | STAFFORD
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State | TX
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Zip | 77477-1531
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Country | US
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Telephone | 281-381-0397
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Fax | 713-271-4507
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Provider Business Mailing Address
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Address Line | 12110 SCOTTSDALE DR
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City | STAFFORD
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State | TX
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Zip | 77477-1531
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Country | US
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Telephone | 281-381-0397
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Fax | 713-271-4507
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Authorized Official
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Title or Position | CFO
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Name | MRS. MANDANA GHOLAMHOSSEINI
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Credential |
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Telephone | 713-271-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010103
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License Number State | TX
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