MEDICARE: SWEETIE HOME CARE

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1386111730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEETIE HOME CARE

Provider Business Mailing Address
First Line	:	7511 LEY RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77028-2435
Country	:	US
Telephone Number	:	832-373-6302
Fax Number	:

Provider Business Practice Location Address
First Line	:	7511 LEY RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77028-2435
Country	:	US
Telephone Number	:	832-373-6302
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. AMANDA WHITE
Credential	:
Telephone Number	:	832-373-6302

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	10/24/2018

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Directions to “SWEETIE HOME CARE ” Practice Location

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