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Organization
MARANATHA CARE HOME HEALTH LLC
Active
Organization
MARANATHA CARE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENNA RANSBURG RN RN (ADMINISTRATOR/DON)
(512) 746-5147
Entity
Organization
Contact information
Practice address
115 DOUBLE CREEK DR, 12701 N I H 35, JARRELL, TX 76537-1114
(512) 746-5147
(512) 746-2436
Mailing address
12701 N I H 35, JARRELL, TX 76537-1114
(512) 746-5147
(512) 746-2436
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
584121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
747957
MEDICARE PTAN
TX
Enumeration date
03/12/2014
Last updated
09/15/2016
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