Provider Demographics
NPI:1811366172
Name:M & M RESPITE SERVICES
Entity Type:Organization
Organization Name:M & M RESPITE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:VOSSAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-564-9859
Mailing Address - Street 1:11144 FUQUA ST
Mailing Address - Street 2:436
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2544
Mailing Address - Country:US
Mailing Address - Phone:832-564-9859
Mailing Address - Fax:
Practice Address - Street 1:11144 FUQUA ST
Practice Address - Street 2:436
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2544
Practice Address - Country:US
Practice Address - Phone:832-564-9859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA133631253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care