Mercedez in Home Care Agency, L.l.c

NPI #1407225600 in Desoto, Texas

Provider Information

NPI Number: 1407225600
Entity Type: Organization
Organization Name: Mercedez in Home Care Agency, L.l.c
Primary Specialty: Home Health
Enumeration Date: Sep 17, 2015
Last Updated: Sep 30, 2015

Practice Location

Address: 215 EXECUTIVE WAY
Address 2: 130
City: Desoto
State: Texas
ZIP Code: 75115-2396
Phone: (972) 947-3100

Authorized Official

Name: MRS. MERCEDES LASHON MCQUEEN
Title: ADMINISTRATOR
Phone: (972) 947-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
Home Health	251E00000X	Primary

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