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Organization
BC COLLINS HOME
Active
Organization
BC COLLINS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC TUBONEMI SR. (PROGRAM MANAGER)
(512) 785-7795
Entity
Organization
Contact information
Practice address
2612 BYFIELD DR, CEDAR PARK, TX 78613-7614
(512) 785-7795
Mailing address
2612 BYFIELD DR, CEDAR PARK, TX 78613-7614
(512) 785-7795
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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