Organization
CHARTWELL COMMUNITY SERVICE, INC
Active
Other names
Jordan Health Service, a Part of the Elara Caring Network
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA MILLER (VICE PRESIDENT OF REGULATORY)
(800) 234-1866
Entity
Organization
Contact information
Practice address
714 WEST GIPSON, SUITE 10, JASPER, TX 77506-4960
(409) 384-6577
(409) 384-6569
Mailing address
714 WEST GIPSON, SUITE 10, JASPER, TX 77506-4960
(409) 384-6577
(409) 384-6569
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032808JAS
AAA
TX
01
—
23380695
APS
TX
Enumeration date
05/04/2007
Last updated
01/04/2019
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