MEDICARE: HODGES HELPING HAND

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	:	1821542705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HODGES HELPING HAND

Provider Business Mailing Address
First Line	:	12630 LOCKBOURNE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77038-2029
Country	:	US
Telephone Number	:	281-300-8717
Fax Number	:

Provider Business Practice Location Address
First Line	:	12630 LOCKBOURNE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77038-2029
Country	:	US
Telephone Number	:	281-300-8717
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MARY YOLANDA HODGE
Credential	:
Telephone Number	:	281-300-8717

Provider Enumeration Date	:	08/09/2016
Last Update Date	:	08/09/2016

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