MEDICARE: BLUE RIBBON HEALTHCARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		TX

General Provider Information

NPI Number	:	1053758623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE RIBBON HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	6810 OAKMANTLE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-1336
Country	:	US
Telephone Number	:	714-501-0036
Fax Number	:

Provider Business Practice Location Address
First Line	:	6810 OAKMANTLE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-1336
Country	:	US
Telephone Number	:	714-501-0036
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LOLO BRIGGS
Credential	:
Telephone Number	:	713-501-0036

Provider Enumeration Date	:	05/22/2013
Last Update Date	:	05/22/2013

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