Provider Demographics
NPI:1215030200
Name:OBENCE PEREZ
Entity Type:Organization
Organization Name:OBENCE PEREZ
Other - Org Name:GENTLE HAND HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OBENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:979-793-5555
Mailing Address - Street 1:PO BOX 414
Mailing Address - Street 2:
Mailing Address - City:NEEDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77461-0414
Mailing Address - Country:US
Mailing Address - Phone:979-793-5555
Mailing Address - Fax:979-793-5559
Practice Address - Street 1:3119 SCHOOL ROAD
Practice Address - Street 2:
Practice Address - City:NEEDVILLE
Practice Address - State:TX
Practice Address - Zip Code:77461-0414
Practice Address - Country:US
Practice Address - Phone:979-793-5555
Practice Address - Fax:979-793-5559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003220251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX458285Medicare Oscar/Certification