Organization
MI2 VENTURES, LLC
Active
Other names
FirstLight HomeCare of Austin
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MARK ONDERKO (PRESIDENT/ADMINISTRATOR)
(512) 276-2135
Entity
Organization
Contact information
Practice address
11615 ANGUS RD, SUITE 109, AUSTIN, TX 78759-4078
(512) 276-2135
(512) 276-2397
Mailing address
11615 ANGUS RD, SUITE 109, AUSTIN, TX 78759-4078
(512) 427-6213
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
014512
TX
Other
Enumeration date
08/22/2011
Last updated
06/29/2012
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