Organization
PROFESSIONAL TRENDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SANDERS WILCOX (OWNER PRESIDENT)
(281) 651-5990
Entity
Organization
Contact information
Practice address
209 CARTER STREET, VIDALIA, LA 71373
(318) 336-4754
Mailing address
1923 RYANSBROOK LN, SPRING, TX 77386-2865
(281) 651-5990
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
410
LA
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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