Organization
BLUE WAKE, INC
Active
Other names
PROCURA HOME HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS LESLIE (PRESIDENT)
(512) 264-3153
Entity
Organization
Contact information
Practice address
309 DUNKELD DR, SPICEWOOD, TX 78669-2154
(512) 264-3153
(512) 264-3401
Mailing address
309 DUNKELD DR, SPICEWOOD, TX 78669-2154
(512) 264-3153
(512) 264-3401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
APPLIED FOR
TX
Other
Enumeration date
08/06/2006
Last updated
08/22/2020
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