Organization
GREAT PROVIDER CAREGIVERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SANTIAGO MOTR (ADMINISTRATOR)
(817) 635-6088
Entity
Organization
Contact information
Practice address
2233 AVENUE J STE 107, ARLINGTON, TX 76006-5884
(817) 635-6088
(817) 633-3976
Mailing address
2233 AVENUE J STE 107, ARLINGTON, TX 76006-5884
(817) 635-6088
(817) 633-3976
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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