Organization
GENCAE HOUSE OF CARE OF TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENEVIEVE ELIZA BRENT RN (PRESIDENT/CEO)
(682) 518-9252
Entity
Organization
Contact information
Practice address
4604 RIDGEWAY DR, MANSFIELD, TX 76063-8611
(682) 518-9252
Mailing address
4604 RIDGEWAY DR, MANSFIELD, TX 76063-8611
(682) 518-9252
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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