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Organization

SPACE CITY SENIOR CARE, LLC

Active
Other names
Home Instead Senior Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY GOMEZ-MIRA (ADMINISTRATOR)
(210) 246-3448
Entity
Organization

Contact information

Practice address
8313 SOUTHWEST FWY, STE. 109, HOUSTON, TX 77074-1611
(210) 246-3448
Mailing address
8313 SOUTHWEST FWY, STE. 109, HOUSTON, TX 77074-1611
(210) 246-3448

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
008903
TX

Other

Enumeration date
12/03/2012
Last updated
12/03/2012
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