Icb Enterprises Corporation

NPI 1184016032 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1184016032
Enumeration Date 03/02/2015
Last Updated 02/19/2016
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name RAPHAEL RAPHAEL
Position ADMINISTRATOR
Phone (512) 400-2333
Fax (512) 400-2334
Practice Location
11183 CIRCLE DR
SUITE C
AUSTIN TX, 78736, US
Phone (512) 400-2333
Fax (512) 400-2334
Business Location
11183 CIRCLE C DR
SUITE C
AUSTIN TX, 78736, US
Phone (512) 400-2333
Fax
Toxanomy
Taxonomy Code 253Z00000X
License State
License Number
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According to our database, Icb Enterprises Corporation NPI is 1184016032, taxonomy code is 253Z00000X Icb Enterprises Corporation physically located at 11183 Circle Dr, Austin TX, 78736. NPI Number 1033115704 has the healthcare provider type.

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1184016032 NPI number is provided on an as is basis without warranty of any kind. 1184016032 is maintained by the National Plan & Provider Enumeration System. The contents of Icb Enterprises Corporation are for informational purposes only.