MEDICARE: ALLURE HEALTHCARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1215281324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLURE HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	1301 E BARDIN RD UNIT 182607
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76096-4306
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7216 FOSSIL HILL DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76002-4447
Country	:	US
Telephone Number	:	817-798-5806
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHARNICE THOMAS
Credential	:
Telephone Number	:	817-798-5806

Provider Enumeration Date	:	10/29/2012
Last Update Date	:	10/29/2012

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