Organization
J & C HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN DUY PHAM (CEO/ADMINISTRATOR)
(619) 757-0921
Entity
Organization
Contact information
Practice address
1700 E PIONEER PKWY STE 188, ARLINGTON, TX 76010-6612
(619) 757-0921
Mailing address
1700 E PIONEER PKWY STE 188, ARLINGTON, TX 76010-6612
(619) 757-0921
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
014956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014956
TEXAS DEPT. OF AGING AND DISABILITY SERVICES
TX
Enumeration date
01/21/2014
Last updated
01/21/2014
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