Provider Demographics
NPI:1578864617
Name:MANAGED SPECIALTY CARE, LLC
Entity Type:Organization
Organization Name:MANAGED SPECIALTY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRISTIAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:ARANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-466-2752
Mailing Address - Street 1:2212 RACQUET CLUB CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-3717
Mailing Address - Country:US
Mailing Address - Phone:817-466-2752
Mailing Address - Fax:
Practice Address - Street 1:2212 RACQUET CLUB CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-3717
Practice Address - Country:US
Practice Address - Phone:817-466-2752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care