Organization
IMMANUEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JENKINS (OWNER)
(469) 386-4428
Entity
Organization
Contact information
Practice address
2709 OAKMONT DR, LANCASTER, TX 75134-2024
(469) 386-4428
Mailing address
2709 OAKMONT DR, LANCASTER, TX 75134-2024
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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