Provider Demographics
NPI:1669576153
Name:BENNYBRIGHT HOME HEALTH SERVICES, INC
Entity type:Organization
Organization Name:BENNYBRIGHT HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ETUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-855-5782
Mailing Address - Street 1:13210 OLD RICHMOND RD
Mailing Address - Street 2:UNIT 95
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6418
Mailing Address - Country:US
Mailing Address - Phone:713-855-5782
Mailing Address - Fax:281-879-5912
Practice Address - Street 1:13210 OLD RICHMOND RD
Practice Address - Street 2:UNIT 95
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6418
Practice Address - Country:US
Practice Address - Phone:713-855-5782
Practice Address - Fax:281-879-5912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010594251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health