Organization
MAXIMUS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA COLEMAN (ADMINISTRATOR)
(972) 363-4437
Entity
Organization
Contact information
Practice address
901 LAKESIDE CIR APT 12101, LEWISVILLE, TX 75057-5073
(972) 363-4437
Mailing address
901 LAKESIDE CIR APT 12101, LEWISVILLE, TX 75057-5073
(972) 363-4437
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
10/12/2022
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