MEDICARE: JANINE WARFIELD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1609012483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANINE WARFIELD

Provider Business Mailing Address
First Line	:	9111 LAKES AT 610 DR APT 921
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2452
Country	:	US
Telephone Number	:	713-385-5645
Fax Number	:

Provider Business Practice Location Address
First Line	:	9111 LAKES AT 610 DR APT 921
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2452
Country	:	US
Telephone Number	:	713-385-5645
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2008
Last Update Date	:	12/27/2008

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