Organization
MARY ELAINE SALMON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELAINE ESCASIO SALMON (AUTHORIZED OFFICIAL)
(661) 477-6356
Entity
Organization
Contact information
Practice address
641 MAPLE POINT DR E, CONROE, TX 77301-3170
(661) 477-6356
Mailing address
PO BOX 6890, PINE MOUNTAIN CLUB, CA 93222-6890
(661) 477-6356
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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