Provider Demographics
NPI:1053677567
Name:HOLMES, EUNICE D (HOME HEALTH)
Entity Type:Individual
Prefix:MRS
First Name:EUNICE
Middle Name:D
Last Name:HOLMES
Suffix:
Gender:F
Credentials:HOME HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 FONDREN RD APT 1003
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5697
Mailing Address - Country:US
Mailing Address - Phone:832-881-9568
Mailing Address - Fax:
Practice Address - Street 1:10700 FONDREN RD APT 1003
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-5697
Practice Address - Country:US
Practice Address - Phone:832-881-9568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator