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Organization
JORDAN HOME HEALTH CARE, LLC
Active
Organization
JORDAN HOME HEALTH CARE, LLC
Active
Other names
Jordan Health Services, Elara Caring
Organization subpart
No
Provider details
NPI number
Authorized official
PAM BLALOCK (BILLING SPECIALIST)
(903) 537-8621
Entity
Organization
Contact information
Practice address
1510 E GRANDE BLVD, STE. C, TYLER, TX 75703-3978
(903) 577-8822
(903) 577-0165
Mailing address
1510 E GRANDE BLVD STE C, TYLER, TX 75703-3978
(903) 577-8822
(903) 577-0165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004823
—
TX
05
—
001004824
—
TX
05
—
001004825
—
TX
05
—
157246301
—
TX
05
—
157246302
—
TX
05
—
158219902
—
TX
01
—
HH205H
BCBS PROVIDER NUMBER
TX
Enumeration date
08/26/2005
Last updated
12/03/2019
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