Organization
DANIEL JARVIS PRIVATE DUTY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENYA L MYERS BS (EXECUTIVE DIRECTOR/CEO)
(979) 260-6941
Entity
Organization
Contact information
Practice address
4021 E 29TH ST, SUITE 104, BRYAN, TX 77802-4227
(979) 260-6941
Mailing address
4021 E 29TH ST, SUITE 104, BRYAN, TX 77802-4227
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008268
TX
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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