Mystic Rose Home Health Care LLC

NPI #1396027397 in Corsicana, Texas

Provider Information

NPI Number: 1396027397
Entity Type: Organization
Organization Name: Mystic Rose Home Health Care LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MYSTIC ROSE SOCIAL SERVICE INC
Primary Specialty: Home Health
Enumeration Date: Sep 15, 2011
Last Updated: Oct 12, 2012

Practice Location

Address: 508 N MAIN ST STE C
City: Corsicana
State: Texas
ZIP Code: 75110-3010
Phone: (903) 874-4325

Authorized Official

Name: LANETTIA LITTLETON
Title: CEO
Phone: (903) 874-4325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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