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Organization

MERCEDEZ IN HOME CARE AGENCY, L.L.C

Active
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Organization

MERCEDEZ IN HOME CARE AGENCY, L.L.C

Active
Other names
Mercedez In Home Care Agency, L.L.C
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MERCEDES LASHON MCQUEEN (ADMINISTRATOR)
(972) 947-3100
Entity
Organization

Contact information

Practice address
215 EXECUTIVE WAY, 130, DESOTO, TX 75115-2396
(972) 947-3100
(972) 947-3099
Mailing address
215 EXECUTIVE WAY, 130, DESOTO, TX 75115-2396
(972) 947-3100
(972) 947-3099

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
016265
TX
251J00000X
Nursing Care Agency
016265
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016265
PERSONAL ASSISTANCE SERVICES
TX
Enumeration date
09/17/2015
Last updated
09/30/2015
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