# CANYON LAKE SENIOR HOME CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Canyon Lake Senior Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134606890
- **Authorized official:** THOMAS ANDERSON (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (830) 743-5388

## Contact information

- **Practice address:** 1215 HIGHLAND TERRACE DR, CANYON LAKE, TX 78133-5274
- **Practice address phone:** (830) 743-5388
- **Mailing address:** 1215 HIGHLAND TERRACE DR, CANYON LAKE, TX 78133-5274
- **Mailing address phone:** (830) 743-5388

## Taxonomy

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

## Other

- **Enumeration date:** 07/25/2018
- **Last updated:** 07/25/2018