Organization
MED-SOURCE HOMECARE SERVICES
Active
Parent organization
MED-SOURCE HEALTHCARE SERVICES, INC
Other names
med-Source Healthcare Services, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED-SOURCE HEALTHCARE SERVICES, INC
Authorized official
MS. PRISCILLA UDEAGHA (ADMINSTRATOR)
(281) 265-0095
Entity
Organization
Contact information
Practice address
12926 DAIRY ASHFORD RD, SUITE 150, SUGAR LAND, TX 77478-3293
(281) 265-0095
Mailing address
12926 DAIRY ASHFORD RD, SUITE 150, SUGAR LAND, TX 77478-3293
(281) 265-0095
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
010184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012116667
—
TX
Enumeration date
01/30/2013
Last updated
01/30/2013
About Stedi
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