Provider Demographics
NPI:1467802389
Name:MARGO PERSONAL CARE ENTERPRISES INC
Entity Type:Organization
Organization Name:MARGO PERSONAL CARE ENTERPRISES INC
Other - Org Name:DEEP EAST TEXAS COMMUNITY SERVICES AND HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-414-9738
Mailing Address - Street 1:1249 EDGEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-7576
Mailing Address - Country:US
Mailing Address - Phone:936-414-9738
Mailing Address - Fax:
Practice Address - Street 1:1249 EDGEWOOD CIR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-7576
Practice Address - Country:US
Practice Address - Phone:936-414-9738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health