Provider Demographics
NPI:1265953301
Name:KAREN THATCHER HEALTH SERVICES LLC
Entity type:Organization
Organization Name:KAREN THATCHER HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MICHELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-506-2107
Mailing Address - Street 1:9506 EMERALD LAKES DR
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-3290
Mailing Address - Country:US
Mailing Address - Phone:321-506-2107
Mailing Address - Fax:832-241-7106
Practice Address - Street 1:9506 EMERALD LAKES DR
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-3290
Practice Address - Country:US
Practice Address - Phone:321-506-2107
Practice Address - Fax:832-241-7106
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KAREN THATCHER HEALTH SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211136251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health