Organization
CANYON LAKE SENIOR HOME CARE INC.
Active
Other names
Canyon Lake Senior Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ANDERSON (OWNER/ADMINISTRATOR)
(830) 743-5388
Entity
Organization
Contact information
Practice address
1215 HIGHLAND TERRACE DR, CANYON LAKE, TX 78133-5274
(830) 743-5388
Mailing address
1215 HIGHLAND TERRACE DR, CANYON LAKE, TX 78133-5274
(830) 743-5388
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
TX
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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