Provider Demographics
NPI:1740527068
Name:ISABELLA HEALTHCARE, INC.
Entity type:Organization
Organization Name:ISABELLA HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMENZE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGHIMIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-248-6131
Mailing Address - Street 1:13302 INDIAN BLANKET LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-1912
Mailing Address - Country:US
Mailing Address - Phone:281-248-6130
Mailing Address - Fax:832-328-4377
Practice Address - Street 1:13302 INDIAN BLANKET LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-1912
Practice Address - Country:US
Practice Address - Phone:281-248-6130
Practice Address - Fax:832-328-4377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health