Organization
AMERICARE TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYSTI MAREE MARSHALL (PROGRAM ADMINISTRATOR)
(318) 704-6087
Entity
Organization
Contact information
Practice address
105 MULBERRY, LA VERNIA, TX 78121-4637
(318) 704-6087
(318) 704-6089
Mailing address
PO BOX 1516, LA VERNIA, TX 78121-1500
(318) 704-6087
(318) 704-6089
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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