Organization
21ST CENTURY QUALITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIEASHA WADDY (OWNER/PRESIDENT)
(832) 367-9087
Entity
Organization
Contact information
Practice address
503 ROSEN AVE, ARCOLA, TX 77583-2752
(832) 308-0776
Mailing address
503 ROSEN AVE, ARCOLA, TX 77583-2752
(832) 308-0776
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/13/2019
Last updated
02/15/2022
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