Individual
CAROLYN TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E MYRTLE ST, SUITE 216, ANGLETON, TX 77515-4763
(979) 900-9256
Mailing address
PO BOX 1, CEDAR LANE, TX 77415-0001
(979) 900-9256
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/27/2014
Last updated
04/11/2014
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