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Organization
MERCEDES IN HOME CARE AGENCY, L.L.C
Active
Organization
MERCEDES IN HOME CARE AGENCY, L.L.C
Active
Other names
Mercedes In Home Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCEDES MCQUEEN MSBA (DIRECTOR)
(972) 366-6066
Entity
Organization
Contact information
Practice address
404 FLORENCIA PLZ, DALLAS, TX 75211-7692
(972) 366-6066
(833) 693-0003
Mailing address
404 FLORENCIA PLZ, DALLAS, TX 75211-7692
(972) 366-6066
(833) 693-0003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
457524
CERTIFY HOME HEALTH AGENCY
TX
01
—
457898
CERTIFY HOME HEATH, PRIMARY HOME CARE AGENCY
—
Enumeration date
03/14/2019
Last updated
03/14/2019
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