Organization
ATHOME COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA D GRAY MBA (PRESIDENT & TREASURER)
(512) 413-6372
Entity
Organization
Contact information
Practice address
3006 STATE HIGHWAY 159, LA GRANGE, TX 78945-4340
(512) 336-0800
Mailing address
33 CYPRESS BLVD STE 100, ROUND ROCK, TX 78665-1006
(512) 336-0800
(512) 336-0812
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
02/20/2020
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