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NPI Code Detail

MEDICARE: NANNY'S MHMR CARE, INC

MEDICARE: NANNY'S MHMR CARE, 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 Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001007999OTHERTXDADS CONTRACT NUMBER

General Provider Information

NPI Number : 1922201706
Entity Type Code : Organization
Provider Name (Legal Business Name) : NANNY'S MHMR CARE, INC
Provider Business Mailing Address
First Line : 10415 TENNECO DR
Second Line :
City : HOUSTON
State : TX
Zip : 77099-2922
Country : US
Telephone Number : 281-433-6188
Fax Number :
Provider Business Practice Location Address
First Line : 12808 W AIRPORT BLVD STE 275K
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-6245
Country : US
Telephone Number : 281-433-6188
Fax Number : 832-550-2933
Authorized Official
Title or Position : DIRECTOR
Name : LISA ANN KISER
Credential :
Telephone Number : 281-433-6188
Provider Enumeration Date : 06/07/2007
Last Update Date : 12/18/2020

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Directions to “NANNY'S MHMR CARE, INC ” Practice Location

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