Provider Demographics
NPI: | 1770930737 |
---|---|
Name: | TUWA HEALTHCARE SERVICES LLC |
Entity type: | Organization |
Organization Name: | TUWA HEALTHCARE SERVICES LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGING DIRECTOR |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | THERESA |
Authorized Official - Middle Name: | UWAILA |
Authorized Official - Last Name: | EMETOH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN |
Authorized Official - Phone: | 469-682-8582 |
Mailing Address - Street 1: | 2510 SPARROW BRANCH CT |
Mailing Address - Street 2: | |
Mailing Address - City: | SUGAR LAND |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77479-8814 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 281-456-3859 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2510 SPARROW BRANCH CT |
Practice Address - Street 2: | |
Practice Address - City: | SUGAR LAND |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77479-8814 |
Practice Address - Country: | US |
Practice Address - Phone: | 281-456-3859 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-05-19 |
Last Update Date: | 2016-05-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 251J00000X, 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health | |
No | 251J00000X | Agencies | Nursing Care |