Provider Demographics
NPI:1538554860
Name:RACHEAL BRANCH
Entity type:Organization
Organization Name:RACHEAL BRANCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEAL
Authorized Official - Middle Name:C
Authorized Official - Last Name:BRANCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-515-8778
Mailing Address - Street 1:233 BLUE HILL DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-8127
Mailing Address - Country:US
Mailing Address - Phone:832-515-8778
Mailing Address - Fax:
Practice Address - Street 1:233 BLUE HILL DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-8127
Practice Address - Country:US
Practice Address - Phone:832-515-8778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-02
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care