MEDICARE: ATWELL HOSPICE & PJ HOME HEALTH SERVICE, 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
1	251E00000X	Home Health Agency
2	315D00000X	Inpatient Hospice

General Provider Information

NPI Number	:	1922560283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATWELL HOSPICE & PJ HOME HEALTH SERVICE, INC

Provider Business Mailing Address
First Line	:	6917 ATWELL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6003
Country	:	US
Telephone Number	:	713-664-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	6917 ATWELL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6003
Country	:	US
Telephone Number	:	713-664-7800
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	FRANCISCA EZEANI
Credential	:
Telephone Number	:	832-763-2946

Provider Enumeration Date	:	04/04/2019
Last Update Date	:	04/04/2019

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