# SPACE CITY SENIOR CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Instead Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508101494
- **Authorized official:** MR. GREGORY GOMEZ-MIRA (ADMINISTRATOR)
- **Authorized official phone:** (210) 246-3448

## Contact information

- **Practice address:** 8313 SOUTHWEST FWY, STE. 109, HOUSTON, TX 77074-1611
- **Practice address phone:** (210) 246-3448
- **Mailing address:** 8313 SOUTHWEST FWY, STE. 109, HOUSTON, TX 77074-1611
- **Mailing address phone:** (210) 246-3448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 008903 | TX | Yes |

## Other

- **Enumeration date:** 12/03/2012
- **Last updated:** 12/03/2012