Organization
BAVOUSETT'S CARING KEEPERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WALTERINE M BAVOUSETT (OWNER/ DIRECTOR)
(817) 556-2760
Entity
Organization
Contact information
Practice address
405 N. RIDGEWAY DR., SUITE 1-A, CLEBURNE, TX 76033
(817) 556-2760
Mailing address
405 N. RIDGEWAY DR., SUITE 1-A, CLEBURNE, TX 76033
(817) 556-2760
(817) 556-2760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
619604
TX
253Z00000X
In Home Supportive Care Agency
Primary
—
TX
376K00000X
Nurse's Aide
NA08704955
TX
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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