MEDICARE: PEOPLE HEALTH CARE LLC

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

General Provider Information

NPI Number	:	1639497647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLE HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	340 N SAM HOUSTON PKWY E STE 160C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 N SAM HOUSTON PKWY E STE 160C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3305
Country	:	US
Telephone Number	:	832-731-3804
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. BRIAN F. LARRY
Credential	:
Telephone Number	:	832-731-3804

Provider Enumeration Date	:	05/14/2010
Last Update Date	:	05/14/2010

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Directions to “PEOPLE HEALTH CARE LLC ” Practice Location

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