Organization
COLLECT MEMORIES AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN B PALMER RN (REGISTERED NURSE)
(903) 241-8718
Entity
Organization
Contact information
Practice address
600 W GAY AVE, GLADEWATER, TX 75647-4802
(903) 241-8718
Mailing address
PO BOX 2082, LONGVIEW, TX 75606-2082
(903) 241-8718
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
TX
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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