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Organization
TRADITIONS CARE TEAM INC
Active
Organization
TRADITIONS CARE TEAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY SIMON (OWNER/ALT ADMINISTRATOR)
(972) 378-7902
Entity
Organization
Contact information
Practice address
5045 LORIMAR DR STE 230, PLANO, TX 75093-5742
(972) 378-7902
Mailing address
5045 LORIMAR DR STE 230, PLANO, TX 75093-5742
(972) 378-7902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
747337
MEDICARE PROVIDER
TX
Enumeration date
10/02/2014
Last updated
10/02/2014
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