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Organization
SIXTEEN LAC INC
Active
Organization
SIXTEEN LAC INC
Active
Other names
Serenity Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P. FLORES (AUTHORIZED OFFICAL)
(361) 241-2244
Entity
Organization
Contact information
Practice address
4600 OCEAN DR APT 405, CORPUS CHRISTI, TX 78412-2542
(361) 241-2244
(361) 241-7220
Mailing address
4600 OCEAN DR APT 405, CORPUS CHRISTI, TX 78412-2542
(361) 241-2244
(361) 241-7220
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012489
TDADS LICENSE
TX
05
—
351823501
—
TX
Enumeration date
07/06/2006
Last updated
05/27/2022
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