# VICKIE'S HOME CARE LLC

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

## Provider details

- **NPI number:** 1104368224
- **Authorized official:** ISAAC ADUSEI (OWNER)
- **Authorized official phone:** (818) 205-8178

## Contact information

- **Practice address:** 13785 RESEARCH BLVD, SUITE 125, AUSTIN, TX 78750-1873
- **Practice address phone:** (512) 655-2139
- **Mailing address:** 13785 RESEARCH BLVD, SUITE 125, AUSTIN, TX 78750-1873

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2016
- **Last updated:** 11/07/2016