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Organization
PAUL'S FARM INC.
Active
Organization
PAUL'S FARM INC.
Active
Parent organization
PAUL'S FARM INC.
Other names
A&G Personal Provider Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAUL'S FARM INC.
Authorized official
MRS. TERESITA T. BARTOLOME DN (ADMINISTRATOR)
(281) 474-2277
Entity
Organization
Contact information
Practice address
318 WATERFRONT DR STE A, SEABROOK, TX 77586-3923
(281) 474-2277
(281) 474-2287
Mailing address
PO BOX 1064, SEABROOK, TX 77586-1064
(281) 474-2277
(281) 474-2287
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
679333
TX
251G00000X
Community Based Hospice Care Agency
1003828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000109100
—
TX
01
—
10025075
AMERIGROUP
TX
05
—
1003828
—
TX
01
—
82888
EVERCARE
TX
Enumeration date
11/30/2006
Last updated
12/14/2022
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