Organization
STATE OF TEXAS, DEPT. OF AGING & DISABILITY, HCSSA
Active
Other names
Home & Community Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL JACKSON MSW (MANAGER)
(512) 908-3203
Entity
Organization
Contact information
Practice address
10205 N LAMAR, FIRST FLOOR, AUSTIN, TX 78753
(512) 908-3204
(512) 908-3212
Mailing address
2900 W ANDERSON LN, C200-126, AUSTIN, TX 78757-1102
(512) 484-4907
(512) 908-3212
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
236258
TX
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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