Organization
CASA PROVIDER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELLE P BAUM PT (OWNER/ADMINISTRATOR)
(832) 878-5041
Entity
Organization
Contact information
Practice address
1980 COUNTRY PLACE PKWY, PEARLAND, TX 77584-2137
(832) 878-5041
(713) 588-2416
Mailing address
1980 COUNTRY PLACE PKWY, PEARLAND, TX 77584-2137
(832) 878-5041
(713) 588-2416
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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