Organization
TETRAD LEGACY
Active
Other names
HomeWell Care Services TX69
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELYSA JACKSON COLEMAN (OWNER)
(281) 904-5416
Entity
Organization
Contact information
Practice address
17920 HUFFMEISTER RD STE 250, CYPRESS, TX 77429-4284
(281) 213-4302
(346) 818-2016
Mailing address
17920 HUFFMEISTER RD STE 250, CYPRESS, TX 77429-4284
(281) 213-4302
(346) 818-2016
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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