Organization
CHRISTIAN SERVANTS HOME CARE TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA IVERSON (GENERAL MANAGER)
(715) 281-7965
Entity
Organization
Contact information
Practice address
101 E PARK BLVD STE 600, PLANO, TX 75074-8818
(715) 281-7965
Mailing address
W5866 EASTER LILY DR, APPLETON, WI 54915-7273
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
05/05/2023
Last updated
05/01/2024
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