# SCALLAN COORDINATED CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063125862
- **Authorized official:** TRAVIS RAY SCALLAN (OWNER)
- **Authorized official phone:** (832) 909-2440

## Contact information

- **Practice address:** 2330 TIMBER SHADOWS DR STE 100, KINGWOOD, TX 77339-2675
- **Practice address phone:** (832) 909-2440
- **Mailing address:** 19003 RELAY RD, ATASCOCITA, TX 77346-6061
- **Mailing address phone:** (832) 909-2440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/27/2022
- **Last updated:** 02/11/2023