Organization
SOCIAL SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN HANSEN LMSW (OWNER)
(409) 982-7762
Entity
Organization
Contact information
Practice address
3008 FOREST AVE, PORT ARTHUR, TX 77642-5301
(409) 982-7762
(409) 982-2501
Mailing address
3008 FOREST AVE, PORT ARTHUR, TX 77642-5301
(409) 982-7762
(409) 982-2501
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
25175
TX
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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