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Organization
EXALTED HOME CARE LLC
Active
Organization
EXALTED HOME CARE LLC
Active
Other names
EXALTED HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
LAWANA WALKER (ADMINISTRATOR)
(409) 833-7062
Entity
Organization
Contact information
Practice address
440 N 18TH ST STE A, BEAUMONT, TX 77707-2255
(409) 838-4049
(409) 838-4608
Mailing address
440 N 18TH ST STE A, BEAUMONT, TX 77707-2255
(409) 838-4049
(409) 838-4608
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009764
TX
Other
Enumeration date
10/14/2016
Last updated
12/29/2016
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