Organization Name: | MHMR OF TEXAS CORP |
NPI Number: | 1023387859 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YEMU ROLAND JOHNSON (CEO) |
Mailing Address: | 10333 Harwin Dr #322 Houston |
State: | TX US |
Postal Code: | 770361545 |
Phone Number: | 2815780019 |
Fax Number: | 8887676398 |
NPI Enumeration Date: | 12/22/2011 |
NPI Last Update Date: | 12/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |