Organization
ASTONISHING HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE ANTOINETTE GORDON (ADMINISTRATOR)
(254) 760-0999
Entity
Organization
Contact information
Practice address
206 W ANDERSON AVE, COPPERAS COVE, TX 76522-1368
(254) 542-0093
Mailing address
206 W ANDERSON AVE, COPPERAS COVE, TX 76522-1368
(254) 542-0093
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011193
TX
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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