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Organization
LIGHT JUNCTION PEDIATRICS HOME HEALTH LC
Active
Organization
LIGHT JUNCTION PEDIATRICS HOME HEALTH LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOVITA LENORA PELSUE (ADMINISTRATOR)
(940) 224-7200
Entity
Organization
Contact information
Practice address
905 9TH ST, SUITE 7, WICHITA FALLS, TX 76301-3423
(940) 224-7200
Mailing address
4858 TORTUGA TRL, WICHITA FALLS, TX 76309-1228
(940) 224-7200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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