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NPI Code Detail

MEDICARE: AMERI BLUE HEALTHCARE SERVICES,LLC

MEDICARE: AMERI BLUE HEALTHCARE SERVICES,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
1251E00000XHome Health Agency008212TX

General Provider Information

NPI Number : 1669518619
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERI BLUE HEALTHCARE SERVICES,LLC
Provider Business Mailing Address
First Line : 3300 S GESSNER RD
Second Line : SUITE 165
City : HOUSTON
State : TX
Zip : 77063-5100
Country : US
Telephone Number : 713-271-9027
Fax Number : 713-271-9067
Provider Business Practice Location Address
First Line : 3300 S GESSNER RD
Second Line : SUITE 165
City : HOUSTON
State : TX
Zip : 77063-5100
Country : US
Telephone Number : 713-271-9027
Fax Number : 713-271-9067
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. MARIEVIC REVOTE GAVIOLA
Credential : RN
Telephone Number : 713-271-9027
Provider Enumeration Date : 01/29/2007
Last Update Date : 11/30/2016

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Directions to “AMERI BLUE HEALTHCARE SERVICES,LLC ” Practice Location

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