Organization
PANACEB ENTERPRISE LLC
Active
Other names
Griswold Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ANDY CEBALLOS (DIRECTOR)
(817) 374-4300
Entity
Organization
Contact information
Practice address
3901 ARLINGTON HIGHLANDS BLVD, SUITE 200, ARLINGTON, TX 76018-6036
(817) 374-4300
(817) 704-4657
Mailing address
3901 ARLINGTON HIGHLANDS BLVD, SUITE 200, ARLINGTON, TX 76018-6036
(817) 374-4300
(817) 704-4657
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
014090
TX
Other
Enumeration date
07/18/2011
Last updated
03/17/2015
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