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Organization
SECOND GEN VENTURES INCORPORATED
Active
Organization
SECOND GEN VENTURES INCORPORATED
Active
Other names
Georgetown Living Home Health & Companions
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CORUM (ADMINISTRATOR)
(512) 843-0117
Entity
Organization
Contact information
Practice address
1508 LEANDER RD # 101, GEORGETOWN, TX 78628-8800
(512) 843-0117
(512) 843-0127
Mailing address
2700 SHELL RD, GEORGETOWN, TX 78628-9237
(512) 843-0117
(512) 863-8222
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
747887
MEDICARE PTAN
TX
Enumeration date
05/31/2011
Last updated
10/13/2025
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