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Organization
SOUTHEAST TEXAS HOMECARE SPECIALISTS, INC.
Active
Organization
SOUTHEAST TEXAS HOMECARE SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIE YVONNE FONTENOT (CEO)
(409) 842-0077
Entity
Organization
Contact information
Practice address
1846 INTERSTATE 10 S, SUITE 201, BEAUMONT, TX 77707-4439
(409) 842-0077
(409) 842-2411
Mailing address
1846 INTERSTATE 10 S, SUITE 201, BEAUMONT, TX 77707-4439
(409) 842-0077
(406) 842-2411
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
005104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005104
STATE LICENSE
TX
01
—
HH9297
BCBS PROVIDER NUMBER
TX
Enumeration date
01/05/2007
Last updated
08/22/2020
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