Vistar Group LLC

NPI #1083112726 in Cypress, Texas

Provider Information

NPI Number: 1083112726
Entity Type: Organization
Organization Name: Vistar Group LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Jan 29, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 20319 RUSTY ROCK LN
City: Cypress
State: Texas
ZIP Code: 77433-6300
Phone: (281) 248-6353

Authorized Official

Name: CHRISTINE OUKO
Title: ADMINISTRATOR
Phone: (281) 248-6353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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