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NPI Code Detail

MEDICARE: CARING PALMS HEALTH CARE CENTER, INC

MEDICARE: CARING PALMS HEALTH CARE CENTER, INC
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
1315P00000XIntellectual Disabilities Intermediate Care FacilityTX

General Provider Information

NPI Number : 1578734224
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARING PALMS HEALTH CARE CENTER, INC
Provider Business Mailing Address
First Line : 401 N CARROLL AVE # 157
Second Line :
City : SOUTHLAKE
State : TX
Zip : 76092-6407
Country : US
Telephone Number : 817-992-2028
Fax Number : 817-595-1950
Provider Business Practice Location Address
First Line : 1415 W WASHINGTON ST
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78520-6549
Country : US
Telephone Number : 956-546-3714
Fax Number : 956-546-3799
Authorized Official
Title or Position : PRESIDENT
Name : MR. JEFFREY A HEAD
Credential :
Telephone Number : 817-992-2028
Provider Enumeration Date : 03/20/2008
Last Update Date : 03/20/2008

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Directions to “CARING PALMS HEALTH CARE CENTER, INC ” Practice Location

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