MEDICARE: NORTHWEST ASSISTANCE MINISTRIES

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	332U00000X	Home Delivered Meals

General Provider Information

NPI Number	:	1598019390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST ASSISTANCE MINISTRIES

Provider Business Mailing Address
First Line	:	15555 KUYKENDAHL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3651
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15555 KUYKENDAHL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3651
Country	:	US
Telephone Number	:	281-885-4628
Fax Number	:

Authorized Official
Title or Position	:	SENIOR SERVICES DIRECTOR
Name	:	GRACE JACKSON
Credential	:
Telephone Number	:	281-885-4628

Provider Enumeration Date	:	10/31/2012
Last Update Date	:	12/28/2015

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Directions to “NORTHWEST ASSISTANCE MINISTRIES ” Practice Location

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