# COALESCENT CARE

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

## Provider details

- **NPI number:** 1942682778
- **Authorized official:** LACEY MILLER (CAREGIVER)
- **Authorized official phone:** (512) 718-4014

## Contact information

- **Practice address:** 110 FAWN RIDGE RD, CEDAR CREEK, TX 78612-3491
- **Practice address phone:** (512) 718-4014
- **Mailing address:** 14200 THE LAKES BLVD, APT. 921, PFLUGERVILLE, TX 78660-3777

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2015
- **Last updated:** 06/29/2015