# 21ST CENTURY QUALITY HOME CARE LLC

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

## Provider details

- **NPI number:** 1841859741
- **Authorized official:** TIEASHA WADDY (OWNER/PRESIDENT)
- **Authorized official phone:** (832) 367-9087

## Contact information

- **Practice address:** 503 ROSEN AVE, ARCOLA, TX 77583-2752
- **Practice address phone:** (832) 308-0776
- **Mailing address:** 503 ROSEN AVE, ARCOLA, TX 77583-2752
- **Mailing address phone:** (832) 308-0776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 06/13/2019
- **Last updated:** 02/15/2022