Organization
XENNIAL SENIOR CARE SERVICES LLC
Active
Other names
A Place At Home
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTA JOHNSON (OWNER/ALTERNATE ADMINISTRATOR)
(651) 398-9925
Entity
Organization
Contact information
Practice address
945 SGT ED HOLCOMB BLVD S STE 20, CONROE, TX 77304-1130
(936) 703-8394
Mailing address
482 WOODPECKER FOREST LN, CONROE, TX 77384-3757
(651) 398-9925
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
04/03/2024
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