Organization
CANDY CARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDYCE UNTRAE JACOBS (OWNER)
(903) 526-0351
Entity
Organization
Contact information
Practice address
1414 E IDEL ST, TYLER, TX 75701-2231
(903) 526-0351
Mailing address
PO BOX 6801, TYLER, TX 75711-6801
(903) 526-0351
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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