21stcentury Homecare Services

NPI #1861811218 in Spring, Texas

Provider Information

NPI Number
1861811218
Entity Type
Organization
Organization Name
21stcentury Homecare Services
Primary Specialty
Preferred Provider Organization
Enumeration Date
Apr 14, 2014
Last Updated
Apr 14, 2014

Practice Location

Address
6710 LINDALE MANOR CT
City
Spring
State
Texas
ZIP Code
77379-8931
Phone
(832) 656-4391

Authorized Official

Name
KENNETH RAY JOHNSON JR.
Title
CEO
Phone
(832) 656-4391

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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