Organization
A TX SOUTH PERSONAL HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LYNN TABOR (OWNER)
(979) 248-6413
Entity
Organization
Contact information
Practice address
2283 RIVERSIDE DR, APT/SUITE, WEST COLUMBIA, TX 77486-9660
(979) 248-6413
Mailing address
2283 RIVERSIDE DR, APT/SUITE, WEST COLUMBIA, TX 77486-9660
(979) 248-6413
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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