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Organization

MATTIE'S HOMECARE SERVICES LLC

Active
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Organization

MATTIE'S HOMECARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MATTIE L HENDERSON L.V.N. (ADMINISTRATOR)
(512) 833-9026
Entity
Organization

Contact information

Practice address
12003 N OAKS DR, AUSTIN, TX 78753-2314
(512) 833-9026
(512) 719-9028
Mailing address
12003 N OAKS DR, AUSTIN, TX 78753-2314
(512) 833-9026
(512) 719-9028

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008700
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014931
—
TX
05
—
10061344
—
TX
01
—
S500295940
AMERIGROUP
TX
Enumeration date
01/22/2007
Last updated
06/20/2008
About Stedi
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