My Personal Home Care

Organization Active NPI Home Health Aide · Lake Jackson, TX

NPI 1376947952 · NPPES record last updated Oct 10, 2014

Key facts

NPI
1376947952
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Aide 374U00000X
Legal business name
MY PERSONAL HOME CARE
Practice address
206 Tearose LN
Lake Jackson, TX 77566-6042
Phone
(979) 417-8740
NPI assigned
Oct 10, 2014
Organization subpart
No

Authorized official

Name
Mrs. Dorothy Nell Manning
Title
Supervisor
Phone
(979) 417-8740

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide
Group: 193200000X MULTI-SPECIALTY GROUP
374U00000X Yes

Addresses

Primary practice location

206 Tearose LN
Lake Jackson, TX 77566-6042

Mailing address

206 Tearose LN
Lake Jackson, TX 77566-6042
Phone (979) 417-8740

Other providers in Lake Jackson, TX

All providers in Lake Jackson, TX · Home Health Aide in Texas

Sources for this page

Verify at the official NPI Registry.