Organization
HOME CARE EXTENDED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORMA FAYE LIVINGSTON (ADMINISTRATOR)
(817) 447-9403
Entity
Organization
Contact information
Practice address
141 NW SUZANNE TER, BURLESON, TX 76028-5617
(817) 447-9403
(817) 447-4789
Mailing address
141 NW SUZANNE TER, BURLESON, TX 76028-5617
(817) 447-9403
(817) 447-4789
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
007911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007911
PAS
TX
Enumeration date
03/06/2009
Last updated
03/06/2009
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