Provider Demographics
NPI:1083782551
Name:B&B NURSING AND OTHER HEALTHCARE SERVICES PLLC
Entity type:Organization
Organization Name:B&B NURSING AND OTHER HEALTHCARE SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATORDIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:AUGUSTINA
Authorized Official - Middle Name:BORDOM
Authorized Official - Last Name:BONSU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-701-9191
Mailing Address - Street 1:9 THISTLEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4141
Mailing Address - Country:US
Mailing Address - Phone:281-701-9191
Mailing Address - Fax:281-363-1517
Practice Address - Street 1:9 THISTLEWOOD PL
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4141
Practice Address - Country:US
Practice Address - Phone:281-701-9191
Practice Address - Fax:281-363-1517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010615251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health