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Organization

NORTHEAST TEXAS HOMECARE LLC

Active
Parent organization
SJ HOMECARE, INC.
Other names
Visiting Angels
Organization subpart
Yes

Provider details

NPI number
Legal business name
SJ HOMECARE, INC.
Authorized official
BRENT WILSON (MANAGER)
(254) 744-4277
Entity
Organization

Contact information

Practice address
100 NE LOOP 286, PARIS, TX 75460-2158
(903) 784-5500
Mailing address
100 NE LOOP 286, PARIS, TX 75460-2158
(903) 784-5500

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
261Q00000X
Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
09/28/2021
Last updated
12/20/2021
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