Provider Demographics
NPI:1215287610
Name:SHS-SIGNATURE SELECT SERVICES, INC
Entity type:Organization
Organization Name:SHS-SIGNATURE SELECT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KARIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SPELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:281-837-1321
Mailing Address - Street 1:606 ROLLINGBROOK ST
Mailing Address - Street 2:SUITE 2G
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-4058
Mailing Address - Country:US
Mailing Address - Phone:281-837-1321
Mailing Address - Fax:
Practice Address - Street 1:606 ROLLINGBROOK ST
Practice Address - Street 2:SUITE 2G
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-4058
Practice Address - Country:US
Practice Address - Phone:281-837-1321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care