Organization
JEFFERSON COUNTY ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SCHWANNA K. JOHNSON RN (DIRECTOR)
(409) 549-6260
Entity
Organization
Contact information
Practice address
3100 GULFWAY DR, PORT ARTHUR, TX 77642-5056
(409) 549-6260
(409) 985-7258
Mailing address
PO BOX 1211, PORT ARTHUR, TX 77641-1211
(409) 549-6260
(409) 985-7258
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
11/21/2013
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