# MILLENNIAL PERSONAL CARE SERVICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770986077
- **Authorized official:** MS. CHERONDA LYNN RUTHERFORD MSW (ALTERNATE ADMINISTRATOR)
- **Authorized official phone:** (662) 491-8889

## Contact information

- **Practice address:** 1717 SAINT JAMES PL, SUITE 625, HOUSTON, TX 77056-3404
- **Practice address phone:** (662) 491-8889
- **Mailing address:** 1717 SAINT JAMES PL, SUITE 625, HOUSTON, TX 77056-3404
- **Mailing address phone:** (662) 491-8889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 017543 | TX | Yes |

## Other

- **Enumeration date:** 09/30/2014
- **Last updated:** 05/10/2017