Basic Information
| Provider Information | |||||||||
| NPI: | 1922096544 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HOSPITALITY HEALTH CARE SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10320 LITTLE PATUXENT PKWY | ||||||||
| Address2: | SUITE 804 | ||||||||
| City: | COLUMBIA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210443313 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109920400 | ||||||||
| FaxNumber: | 4109924172 | ||||||||
| Practice Location | |||||||||
| Address1: | 303 MURCHISON ST | ||||||||
| Address2: | |||||||||
| City: | FRANKSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 757639721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9038763208 | ||||||||
| FaxNumber: | 9038763388 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | LAU | ||||||||
| AuthorizedOfficialFirstName: | DEBORAH | ||||||||
| AuthorizedOfficialMiddleName: | A. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRINCIPAL/CHIEF OPERATING OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 4109920400 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 313M00000X | 4915 | TX | Y | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility |
No ID Information.