Organization · NPI-2

Candy Cares

In Home Supportive Care · Tyler, TX

NPI number1972993640
StatusActive
Last updated in NPPESFeb 2, 2015

Details

NPI
1972993640
Entity type
Organization (NPI-2)
Legal business name
Candy Cares
Organization subpart
No
Enumeration date
Feb 2, 2015
Last updated
Feb 2, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

401 E Front St
Bldg 2 Suite 136
Tyler, TX 75702-8213

Phone 903-747-8141 · Fax 903-747-8141

Mailing address

401 E Front St
Bldg 2 Suite 136
Tyler, TX 75702-8213

Phone 903-747-8141 · Fax 903-747-8141

Authorized official

Candyce Anderson
Owner
9037478141

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