Organization
PROVIDER PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MCGLOTHEN (ADMINISTRATOR)
(903) 241-8299
Entity
Organization
Contact information
Practice address
1083 TENNISON RD, GILMER, TX 75645
(903) 241-8299
(214) 872-2997
Mailing address
1083 TENNISON RD, GILMER, TX 75645
(903) 241-8299
(214) 872-2997
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
03/11/2010
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