Organization
VILLACARE
Active
Organization
VILLACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO IWABUCHI (PRESIDENT)
(512) 680-0026
Entity
Organization
Contact information
Practice address
9104 CORBIN CREEK CV, AUSTIN, TX 78717-2984
(512) 680-0026
Mailing address
9104 CORBIN CREEK CV, AUSTIN, TX 78717-2984
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
251G00000X
TX
Other
Enumeration date
10/18/2009
Last updated
10/18/2009
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