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NPI Code Detail

MEDICARE: CAREWOOD HOME LLC

MEDICARE: CAREWOOD HOME 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
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1700400405
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREWOOD HOME LLC
Provider Business Mailing Address
First Line : 9214 EAGLEWOOD SPRING DR
Second Line :
City : HOUSTON
State : TX
Zip : 77083-5057
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15526 EMPANADA DR
Second Line :
City : HOUSTON
State : TX
Zip : 77083-4033
Country : US
Telephone Number : 281-568-7927
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MERCY LAWSON
Credential :
Telephone Number : 832-276-8447
Provider Enumeration Date : 05/29/2020
Last Update Date : 05/29/2020

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Directions to “CAREWOOD HOME LLC ” Practice Location

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