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Organization
NICA HOME CARE LLC
Active
Organization
NICA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTRAND C EZEMA EZEMA (OWNER)
(512) 579-9698
Entity
Organization
Contact information
Practice address
2800 LA FRONTERA BLVD, APT 3018, ROUND ROCK, TX 78681-7929
(512) 579-9698
Mailing address
2800 LA FRONTERA BLVD, APT 3018, ROUND ROCK, TX 78681-7929
(512) 579-9698
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
TX
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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