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Organization
FOUR-A LAC INC
Active
Organization
FOUR-A LAC INC
Active
Other names
My Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE W. RANDLES (ADMINISTRATOR)
(903) 885-9665
Entity
Organization
Contact information
Practice address
452 S HILLCREST DR, SULPHUR SPRINGS, TX 75482-3662
(903) 885-9665
Mailing address
452 S HILLCREST DR, SULPHUR SPRINGS, TX 75482-3662
(903) 885-9665
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010456
TX
Other
Enumeration date
06/09/2006
Last updated
08/22/2020
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