Organization
CARISSA HEALTH CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DEGORL (ADMINISTRATOR)
(979) 531-3165
Entity
Organization
Contact information
Practice address
10701 CORPORATE DR, SUITE 340-113, STAFFORD, TX 77477
(979) 531-3165
(979) 531-3166
Mailing address
10701 CORPORATE DRIVE, SUITE 340-113, STAFFORD, TX 77477
(979) 531-3165
(979) 531-3166
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
014898
TX
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3496291
—
TX
Enumeration date
10/20/2011
Last updated
03/13/2023
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