# CHRISTIAN SERVANTS HOME CARE TEXAS, LLC

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

## Provider details

- **NPI number:** 1104515048
- **Authorized official:** MELISSA IVERSON (GENERAL MANAGER)
- **Authorized official phone:** (715) 281-7965

## Contact information

- **Practice address:** 101 E PARK BLVD STE 600, PLANO, TX 75074-8818
- **Practice address phone:** (715) 281-7965
- **Mailing address:** W5866 EASTER LILY DR, APPLETON, WI 54915-7273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 05/05/2023
- **Last updated:** 05/01/2024