Provider Demographics
NPI:1831324417
Name:JACQUES HEALTHCARE SERVICES, LLC.
Entity Type:Organization
Organization Name:JACQUES HEALTHCARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELIN
Authorized Official - Middle Name:LYNETT
Authorized Official - Last Name:HILTON-INA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-892-6337
Mailing Address - Street 1:21106 CIMARRON PKWY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2604
Mailing Address - Country:US
Mailing Address - Phone:281-717-4297
Mailing Address - Fax:281-398-4208
Practice Address - Street 1:21106 CIMARRON PKWY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2604
Practice Address - Country:US
Practice Address - Phone:281-717-4297
Practice Address - Fax:281-398-4208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health