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NPI Code Detail

MEDICARE: MABORO HEALTHCARE SERVICES INC

MEDICARE: MABORO HEALTHCARE SERVICES 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1881995710
Entity Type Code : Organization
Provider Name (Legal Business Name) : MABORO HEALTHCARE SERVICES INC
Provider Business Mailing Address
First Line : 1146 MIDTOWN DR
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-2719
Country : US
Telephone Number : 979-704-6684
Fax Number : 979-704-6690
Provider Business Practice Location Address
First Line : 1146 MIDTOWN DR
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-2719
Country : US
Telephone Number : 979-704-6684
Fax Number : 979-704-6690
Authorized Official
Title or Position : CFO
Name : CARLOS F HERNANDEZ
Credential :
Telephone Number : 979-704-6684
Provider Enumeration Date : 11/09/2010
Last Update Date : 07/05/2022

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Directions to “MABORO HEALTHCARE SERVICES INC ” Practice Location

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