Organization
PRIME CARE SEVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY L HICKS (PRESIDENT)
(317) 630-3156
Entity
Organization
Contact information
Practice address
4401 SPICEWOOD SPRINGS RD, AUSTIN, TX 78759-8682
(512) 418-8822
(512) 418-8825
Mailing address
10401 N MERIDIAN ST, SUITE 122, INDIANAPOLIS, IN 46290-1151
(317) 630-3156
(317) 630-3157
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PENDING
TX
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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