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Organization
THE ANTIDOTE HOME HEALTH AND CARE TEAM, LLC
Active
Organization
THE ANTIDOTE HOME HEALTH AND CARE TEAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CITSERICE FONTENOT (CEO/MANAGER)
(281) 431-0124
Entity
Organization
Contact information
Practice address
5403 SILVER CANYON CT, ROSHARON, TX 77583-2146
(281) 431-0124
(281) 710-8724
Mailing address
5403 SILVER CANYON CT, ROSHARON, TX 77583-2146
(281) 431-0124
(281) 710-8724
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194141101
—
TX
Enumeration date
02/16/2008
Last updated
03/30/2009
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