Provider Demographics
NPI:1336432400
Name:PANACEA HOME HEALTHCARE SYSTEM, INC.
Entity type:Organization
Organization Name:PANACEA HOME HEALTHCARE SYSTEM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FIROUZEH
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAHRAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-754-2024
Mailing Address - Street 1:1613 BLALOCK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-7320
Mailing Address - Country:US
Mailing Address - Phone:832-754-2024
Mailing Address - Fax:
Practice Address - Street 1:1613 BLALOCK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-7320
Practice Address - Country:US
Practice Address - Phone:832-754-2024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health