Petra Home Care LLC

NPI #1972119568 in Richmond, Texas

Provider Information

NPI Number: 1972119568
Entity Type: Organization
Organization Name: Petra Home Care LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Sep 18, 2020
Last Updated: Sep 18, 2020

Practice Location

Address: 4518 KNIGHT LAKE CT
City: Richmond
State: Texas
ZIP Code: 77406-7982
Phone: (281) 942-2670

Authorized Official

Name: VICTORIA A SHOWUNMI, RN
Title: ADMINISTRATOR
Phone: (631) 741-0795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Nursing Care	251J00000X
In Home Supportive Care	253Z00000X	Primary

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