PC in Home Support

NPI #1215488143 in Lancaster, Texas

Provider Information

NPI Number: 1215488143
Entity Type: Organization
Organization Name: PC in Home Support
Primary Specialty: Home Health
Enumeration Date: Oct 14, 2016
Last Updated: Oct 14, 2016

Practice Location

Address: 4030 PASSAGE WAY
City: Lancaster
State: Texas
ZIP Code: 75146-0106
Phone: (214) 991-5619

Authorized Official

Name: MR. ANTOINE MOURY'E BEACHUM, CMA
Title: OWNER
Phone: (214) 991-5619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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