Organization
EAST TEXAS CARETEAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE JEANETTE SOLIS RN (OWNER/ADMINISTRATOR)
(903) 663-2331
Entity
Organization
Contact information
Practice address
4362 N US HIGHWAY 259, LONGVIEW, TX 75605-7674
(903) 663-2331
(903) 663-4831
Mailing address
4362 N US HIGHWAY 259, LONGVIEW, TX 75605-7674
(903) 663-2331
(903) 663-4831
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
005903
TX
251G00000X
Community Based Hospice Care Agency
005903
TX
251J00000X
Nursing Care Agency
012954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025111801
—
TX
05
—
1002198
—
TX
Enumeration date
05/19/2006
Last updated
11/21/2011
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