Provider Demographics
NPI: | 1508459678 |
---|---|
Name: | P&K HEALTH CARE SERVICES |
Entity Type: | Organization |
Organization Name: | P&K HEALTH CARE SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KATRINA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | WILLIAMS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 281-461-3294 |
Mailing Address - Street 1: | 10998 S WILCREST DR STE 190 |
Mailing Address - Street 2: | |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77099-3581 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 281-461-3294 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 12214 PLUMPOINT DR |
Practice Address - Street 2: | |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77099-3138 |
Practice Address - Country: | US |
Practice Address - Phone: | 832-329-3200 |
Practice Address - Fax: | 877-447-4785 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-02-18 |
Last Update Date: | 2021-03-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home | |
No | 171W00000X | Other Service Providers | Contractor | Group - Multi-Specialty |