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NPI Code Detail

MEDICARE: MADONNA HEALTH CARE SERVICES, INC.

MEDICARE: MADONNA HEALTH CARE SERVICES, INC.
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 Agency010446TX

General Provider Information

NPI Number : 1689614448
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADONNA HEALTH CARE SERVICES, INC.
Provider Business Mailing Address
First Line : 8700 COMMERCE PARK DR
Second Line : SUITE # 216
City : HOUSTON
State : TX
Zip : 77036-7497
Country : US
Telephone Number : 281-232-8118
Fax Number : 832-595-1555
Provider Business Practice Location Address
First Line : 301 SOUTH 9TH STREET
Second Line : SUITE # 116
City : RICHMOND
State : TX
Zip : 77469-3348
Country : US
Telephone Number : 281-232-8118
Fax Number : 832-595-1555
Authorized Official
Title or Position : CEO
Name : MS. MARGARET M ARISE
Credential :
Telephone Number : 281-232-8118
Provider Enumeration Date : 06/08/2006
Last Update Date : 09/21/2015

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Directions to “MADONNA HEALTH CARE SERVICES, INC. ” Practice Location

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