Organization
INDIVIDUAL CARE OF TEXAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA E PETERSEN (VICE-PRESIDENT)
(972) 771-2350
Entity
Organization
Contact information
Practice address
1655 P.R. 2530, QUINLAN, TX 75474-1810
(903) 356-4526
(903) 356-4544
Mailing address
P O BOX 1419, ROCKWALL, TX 75087-1419
(972) 771-2350
(972) 771-4860
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
115880
TX
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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