Provider Demographics
NPI:1033436118
Name:SEABROOK PRIVATE DUTY NURSING
Entity Type:Organization
Organization Name:SEABROOK PRIVATE DUTY NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTIVITY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SENECA
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:COSSE
Authorized Official - Suffix:
Authorized Official - Credentials:AD/TXC,CDP
Authorized Official - Phone:832-319-8927
Mailing Address - Street 1:3907 CURLY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-1422
Mailing Address - Country:US
Mailing Address - Phone:832-319-8927
Mailing Address - Fax:
Practice Address - Street 1:3907 CURLY OAKS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-1422
Practice Address - Country:US
Practice Address - Phone:832-319-8927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty