MYESHA MARIE BOUTTE


Address: 5680 Concord Rd Apt 10, Beaumont, TX 77708-5310
Phone: 4095504976

MYESHA MARIE BOUTTE (NPI# 1326501859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326501859
Entity Type Individual
Full Name MYESHA MARIE BOUTTE
Practice Address 5680 Concord Rd Apt 10
Beaumont
TX 77708-5310
Practice Telephone 4095504976
Mailing Telephone 4095504976
Enumeration Date 2019-04-11
Last Update Date 2019-04-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385H00000X Respite Care Respite Care Facility

Office Location

Street Address 5680 CONCORD RD APT 10
City BEAUMONT
State TX
Zip Code 77708-5310

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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

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1568934883 Abat Healthcare Services, LLC Respite Care 9400 Bellaire Blvd Unit 606, Houston, TX 77036-4556 2018-12-27
1528540531 Anam Residential Care Respite Care 7112 Welshman Dr, Fort Worth, TX 76137-6659 2018-09-05
1184103822 Janelle Ellen Dolphin Respite Care 2501 Louis Henna Blvd Apt 518, Round Rock, TX 78664-5751 2018-08-13
1942786363 Parents Defeating Autism Today Respite Care 400 S Eagle Dr, Crowley, TX 76036-3321 2018-07-18
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Competitor

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City BEAUMONT
Zip Code 77708

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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