Organization
SJ HOME CARE
Active
Other names
Visiting Angels
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE BRISSET HCC, MC (ALTERNATE ADMINISTRATOR)
(903) 215-8183
Entity
Organization
Contact information
Practice address
1605 JUDSON RD, SUITE B-F, LONGVIEW, TX 75601-3662
(903) 215-8183
(903) 215-8184
Mailing address
401 E FRONT ST, SUITE 245, TYLER, TX 75702-8213
(903) 581-5122
(903) 215-8184
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
014739
TX
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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