| Organization Name: | EMERALD BLUE HEALTH CARE SERVICES |
| NPI Number: | 1043204530 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MYTOIA MOSS (OWNER/PROGRAM DIRECTOR) |
| Mailing Address: | 822 Garden Trace Ln Houston |
| State: | TX US |
| Postal Code: | 770186342 |
| Phone Number: | 8328761360 |
| Fax Number: | 7134263603 |
| NPI Enumeration Date: | 09/09/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171W00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |