Provider Demographics
NPI:1346389038
Name:HOBBS, JOAN FAYE (ADULT FOSTER PARENT)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:FAYE
Last Name:HOBBS
Suffix:
Gender:F
Credentials:ADULT FOSTER PARENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 SAN DIEGO AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-1876
Mailing Address - Country:US
Mailing Address - Phone:956-504-1720
Mailing Address - Fax:
Practice Address - Street 1:155 SAN DIEGO AVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-1876
Practice Address - Country:US
Practice Address - Phone:956-504-1720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000875800OtherTX DEPT OF AGING DISABILI