Organization
BAY AREA COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LENITA C JACKSON RN (EXECUTIVE DIRECTOR)
(409) 354-9701
Entity
Organization
Contact information
Practice address
109 ORANGE ST, LA MARQUE, TX 77568-6241
(832) 893-0424
Mailing address
PO BOX 762, LEAGUE CITY, TX 77574-0762
(832) 893-0424
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
789762
TX
251J00000X
Nursing Care Agency
Primary
789762
TX
253Z00000X
In Home Supportive Care Agency
789762
TX
Other
Enumeration date
11/21/2010
Last updated
11/21/2010
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