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Organization
EAST TEXAS MANAGEMENT, LLC
Active
Organization
EAST TEXAS MANAGEMENT, LLC
Active
Other names
East Texas Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA M JERNIGAN (ADMINISTRATOR/OWNER)
(936) 969-2103
Entity
Organization
Contact information
Practice address
708 SOUTHVIEW CIRCLE, CENTER, TX 75935
(936) 591-9550
(936) 591-9543
Mailing address
14046 MAIN STREET, CHESTER, TX 75936
(936) 969-2103
(936) 969-2767
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
007653
TX
251E00000X
Home Health Agency
Primary
012132
TX
Other
Enumeration date
05/09/2006
Last updated
11/18/2009
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