Provider Demographics
NPI:1700151479
Name:HOLYCROSS HEALTHCARE
Entity Type:Organization
Organization Name:HOLYCROSS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAETICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISIBOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-710-7025
Mailing Address - Street 1:11026 DELLROSE CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3955
Mailing Address - Country:US
Mailing Address - Phone:281-710-7025
Mailing Address - Fax:281-710-7025
Practice Address - Street 1:11026 DELLROSE CROSSING DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-3955
Practice Address - Country:US
Practice Address - Phone:281-710-7025
Practice Address - Fax:281-710-7025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health