# PANACEB ENTERPRISE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Griswold Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982992558
- **Authorized official:** MR. JOSE ANDY CEBALLOS (DIRECTOR)
- **Authorized official phone:** (817) 374-4300

## Contact information

- **Practice address:** 3901 ARLINGTON HIGHLANDS BLVD, SUITE 200, ARLINGTON, TX 76018-6036
- **Practice address phone:** (817) 374-4300
- **Practice address fax:** (817) 704-4657
- **Mailing address:** 3901 ARLINGTON HIGHLANDS BLVD, SUITE 200, ARLINGTON, TX 76018-6036
- **Mailing address phone:** (817) 374-4300
- **Mailing address fax:** (817) 704-4657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 014090 | TX | Yes |

## Other

- **Enumeration date:** 07/18/2011
- **Last updated:** 03/17/2015