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Organization

G J & K LEGACY ENTERPRISES, INC

Active
Parent organization
G J & K LEGACY ENTERPRISES, INC
Other names
Customized Therapy Solutions
Organization subpart
Yes

Provider details

NPI number
Legal business name
G J & K LEGACY ENTERPRISES, INC
Authorized official
MRS. GLADYS FAYE HOLMES RN (ALT ADMINISTRATOR, BUSINESS MANAGER)
(281) 795-1061
Entity
Organization

Contact information

Practice address
12302 CARMEL DALE LN, HOUSTON, TX 77089-5719
(832) 871-2105
Mailing address
P.O. BOX 57697, WEBSTER, TX 77598
(832) 871-2105

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
668536
TX

Other

Enumeration date
03/21/2014
Last updated
09/12/2019
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