MEDICARE: FLORENCE T. JONES HCS

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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1770943458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORENCE T. JONES HCS

Provider Business Mailing Address
First Line	:	2112 TEXAS AVE
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-8338
Country	:	US
Telephone Number	:	409-935-0801
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 TEXAS AVE
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-8338
Country	:	US
Telephone Number	:	409-935-0801
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. FLORENCE SPENCER
Credential	:
Telephone Number	:	409-935-0801

Provider Enumeration Date	:	02/24/2016
Last Update Date	:	02/24/2016

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