Organization
NEW WAVE HOME CARE LLC
Active
Other names
New Wave Home Care TX
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE A MACK (ALT ADMINISTRATOR/MANAGING MEMBER)
(215) 582-9779
Entity
Organization
Contact information
Practice address
3422 HARVEST MEADOW LN, ROSENBERG, TX 77471-1748
(215) 582-9779
Mailing address
3422 HARVEST MEADOW LN, ROSENBERG, TX 77471-1748
(215) 582-9779
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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