Organization
MAXINES PERSONAL CARE HOME
Active
Other names
MAXINES PERSONAL CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. D AUTROL HARRISON (PRESIDENT)
19363772115
Entity
Organization
Contact information
Practice address
#1910 STATE HWY 190 EAST, OAKHURST, TX 77359-0155
(936) 377-2115
Mailing address
PO BOX 155, OAKHURST, TX 77359-0155
(936) 377-2115
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
TX
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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