Organization
MISSION HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY SMITH (EXECUTIVE DIRECTOR)
(432) 522-1221
Entity
Organization
Contact information
Practice address
4500 W ILLINOIS AVE STE 112, MIDLAND, TX 79703-5484
(432) 522-1221
(432) 699-5710
Mailing address
4500 W ILLINOIS AVE STE 112, MIDLAND, TX 79703-5484
(432) 522-1221
(432) 699-5710
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
116776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003284000
—
TX
Enumeration date
12/05/2006
Last updated
08/22/2020
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