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Organization
PACDAN INC
Active
Organization
PACDAN INC
Active
Other names
Comfort Keepers #415
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL WALTER LARSH (ADMINSITRATOR)
(903) 521-1234
Entity
Organization
Contact information
Practice address
637 ZELWOOD DR, TYLER, TX 75701-7753
(903) 521-1234
Mailing address
637 ZELWOOD DR, TYLER, TX 75701-7753
(903) 521-1234
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
07/16/2011
Last updated
07/16/2011
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