Provider Demographics
NPI:1336514751
Name:JOSHUA IN HOME QUALITY HEALTH CARE
Entity Type:Organization
Organization Name:JOSHUA IN HOME QUALITY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:FELONECE
Authorized Official - Middle Name:ELAGRA
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-853-9388
Mailing Address - Street 1:3822 SOUTHLAWN STREET
Mailing Address - Street 2:3
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021
Mailing Address - Country:US
Mailing Address - Phone:832-853-9388
Mailing Address - Fax:
Practice Address - Street 1:3822 SOUTHLAWN STREET
Practice Address - Street 2:3
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021
Practice Address - Country:US
Practice Address - Phone:832-853-9388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care