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Organization
NORTHEAST TEXAS HOMECARE LLC
Active
Organization
NORTHEAST TEXAS HOMECARE LLC
Active
Parent organization
SJ HOMECARE, INC.
Other names
Visiting Angels
Organization subpart
Yes
Provider details
NPI number
Legal business name
SJ HOMECARE, INC.
Authorized official
BRENT WILSON (MANAGER)
(254) 744-4277
Entity
Organization
Contact information
Practice address
100 NE LOOP 286, PARIS, TX 75460-2158
(903) 784-5500
Mailing address
100 NE LOOP 286, PARIS, TX 75460-2158
(903) 784-5500
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
09/28/2021
Last updated
12/20/2021
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