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Organization
AGESPACE CARE, LLC
Active
Organization
AGESPACE CARE, LLC
Active
Other names
Interim Healthcare, Interim Healthcare Houston Southeast
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN BLOOMER RN (OWNER / ADMINISTRATOR)
(832) 798-6166
Entity
Organization
Contact information
Practice address
11550 FUQUA ST, SUITE 360, HOUSTON, TX 77034-4306
(832) 404-2006
(832) 404-2336
Mailing address
11550 FUQUA ST, SUITE 360, HOUSTON, TX 77034-4306
(832) 404-2006
(832) 404-2336
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
02/15/2019
Last updated
01/17/2023
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